Active NPI
Saraswathi Jampala, MD
- Internal Medicine Physician
- Johns Creek, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 049807
- Practice address
- 11912 Jones Bridge Rd
Johns Creek, GA 30005-4613 - Phone
- (678) 990-1831
- Fax
- (678) 990-1835
- NPI assigned
- Aug 3, 2005
- Last updated
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | T6123 | TX | |
| Internal Medicine Physician | 207R00000X | 049807 | GA | Primary |
| General Practice Physician | 208D00000X | 049807 | GA |
Addresses
Primary practice location
11912 Jones Bridge Rd
Johns Creek, GA 30005-4613
Mailing address
11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000
Other practice location 1
3625 E League City Pkwy
League City, TX 77573-4509
Phone (713) 442-2826
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270046459F | Medicaid | GA | |
| 270046459G | Medicaid | GA | |
| 58-1762046 | Other | GA | GEORGIA CLINIC, PC /GROUP TAX ID |
Other names 1
- Saraswathi Tummala
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 W Adoue St
Alvin, TX 77511-2718
Phone 28182414801594
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T6123 | TX | MD | Internal Medicine Physician |
| 049807 | GA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey-Seybold Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
| Northside Primary Care Professional Services, LLC | General Practice | Current | Accepting new patients |
| Boston Heart Diagnostics Corporation | Current | Accepting new patients | |
| Northside Primary Care Professional Services,LLC | Current | Accepting new patients | |
| Morehouse Healthcare, Inc. | Internal Medicine | Past | Accepting new patients |
| Pasadena Health Center, Inc | Past | Accepting new patients |
Locations
407 E Maple St
Ste 101
Cumming, GA 30040
Phone (770) 888-6697
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633
201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826
3625 E League City Pkwy
League City, TX 77573
Phone (713) 442-2826
11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997
Organizations & group practices 7
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.
-
dba Adoue Family Health Center
- Federally Qualified Health Center (FQHC)
- Alvin, TX
- NPI 1578730818
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
-
dba Kelsey Seybold Clinic
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
Internal Medicine
-
- Urgent Care Clinic/Center
- Dawsonville, GA
- NPI 1215369715
General Practice
-
- Clinical Medical Laboratory
- Lenexa, KS
- NPI 1922259753
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1801832324
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Pasadena, TX
- NPI 1932104965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1083615710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 SHADOW CREEK PKWY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847298",
"telephone_number": "713-442-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11912 JONES BRIDGE RD",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300054613",
"telephone_number": "678-990-1831",
"fax_number": "678-990-1835"
}
],
"practiceLocations": [
{
"address_1": "3625 E League City Pkwy",
"address_purpose": "LOCATION",
"city": "League City",
"state": "TX",
"postal_code": "775734509",
"country_code": "US",
"telephone_number": "713-442-2826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMPALA",
"first_name": "SARASWATHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-03",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "T6123",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "049807",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "049807",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270046459F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270046459G",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA CLINIC, PC /GROUP TAX ID",
"identifier": "58-1762046",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARASWATHI",
"last_name": "TUMMALA",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.