Individual provider Active NPI

Cinthana Kandasamy, MD

  • Gastroenterology Physician
  • Athens, GA
National Provider Identifier
1093372690
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
104178 Issued in GA
Practice address
340 N Milledge Ave Ste B
Athens, GA 30601-3806
Phone
(706) 548-0008
Fax
(706) 369-9673
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 104178 GA Primary

Addresses

Primary practice location

340 N Milledge Ave Ste B
Athens, GA 30601-3806

Mailing address

340 N Milledge Ave Ste B
Athens, GA 30601-3806
Phone (706) 548-0008

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
I20250702000363 GA Practitioner - Internal Medicine 3678809472 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aga, LLCGroup PAC ID 2365431350, 138 clinicians
Aga Professional Services LLCGroup PAC ID 3870768997, 175 clinicians

Practice addresses (Care Compare)

340 N Milledge Ave
Suite B
Athens, GA 30601-3806
Phone (706) 548-0008

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31
Upper gastrointestinal (GI) endoscopy for acid reflux39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104178GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarke County Endoscopy Center LLC CurrentSince Jun 1, 2025 Accepting new patients
Aga Professional Services, LLC Gastroenterology CurrentSince Jun 17, 2025 Accepting new patients
Aga, LLC Gastroenterology CurrentSince Jun 1, 2025 Accepting new patients

Locations

340 N Milledge Ave
Ste B
Athens, GA 30601
Phone (706) 548-0008

340 N Milledge Ave
Athens, GA 30601
Phone 7065480008 ext. 5911

592 Ridgeway Rd
Ste B
Commerce, GA 30529
Phone (404) 800-7575

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

10 Glenlake Pkwy
Ste 900
Sandy Springs, GA 30328

1305 Jennings Mill Rd
Ste 260
Watkinsville, GA 30677
Phone (706) 548-0008

Interoperability endpoints

  • Direct secure messaging: cinthana.kandasamy@ud.eclinicaldirectplus.com
  • Direct secure messaging: ckandasamy298400@direct.phhs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1093372690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N MILLEDGE AVE STE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013806",
            "telephone_number": "706-548-0008",
            "fax_number": "706-369-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N MILLEDGE AVE STE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013806",
            "telephone_number": "706-548-0008",
            "fax_number": "706-369-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDASAMY",
        "first_name": "CINTHANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "104178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.