Individual provider Active NPI

Satish B Poddar, M.D.

  • Internal Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1083603922
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43264 Issued in GA
Practice address
2878 Five Forks Trickum Rd
Ste 2a
Lawrenceville, GA 30044-5896
Phone
(678) 344-8700
Fax
(678) 344-8600
NPI assigned
Oct 13, 2005
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43264 GA
Internal Medicine Physician 207R00000X 43264 GA Primary

Addresses

Primary practice location

2878 Five Forks Trickum Rd
Ste 2a
Lawrenceville, GA 30044-5896

Mailing address

2878 Five Forks Trickum Rd
Ste 2a
Lawrenceville, GA 30044-5896
Phone (678) 344-8700

Other identifiers 1

IdentifierTypeStateIssuer
000735226BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031110000189 GA Practitioner - Internal Medicine 7810800646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reagan Medical Center LLCGroup PAC ID 6507779329, 16 clinicians

Practice addresses (Care Compare)

2878 Five Forks Trickum Rd
Suite 2a
Lawrenceville, GA 30044-5896
Phone (678) 344-8700

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43264GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Area Orthopedics and Regenerative Medicine LLC CurrentSince Dec 1, 2019 Accepting new patients

Locations

2878 Five Forks Trickum Rd
Ste 2A
Lawrenceville, GA 30044
Phone 6783448700178

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJJHBA/Endpoint/EJJHBA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1083603922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 FIVE FORKS TRICKUM RD",
            "address_2": "STE 2A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445896",
            "telephone_number": "678-344-8700",
            "fax_number": "678-344-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 FIVE FORKS TRICKUM RD",
            "address_2": "STE 2A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445896",
            "telephone_number": "678-344-8700",
            "fax_number": "678-344-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODDAR",
        "first_name": "SATISH",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "43264",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "43264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000735226B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.