Individual provider Active NPI

Sasikanth Doddapaneni, M.D.

  • Psychiatry Physician
  • Decatur, GA
National Provider Identifier
1114940095
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
057797 Issued in GA
Practice address
445 Winn Way
Decatur, GA 30030-1707
Phone
(404) 508-7700
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 057797 GA Primary
Ophthalmology Physician 207W00000X 057797 GA

Addresses

Primary practice location

445 Winn Way
Decatur, GA 30030-1707

Mailing address

445 Winn Way
Decatur, GA 30030-1707
Phone (404) 508-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060828000221 GA Practitioner - PsychiatryPractitioner - Ophthalmology 0345135885 Reassigns benefits to 3 organizations
Practice locations: Atlanta, GA
I20240429001432 AL Practitioner - Psychiatry 0345135885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Ophthalmology
Education
Tufts University School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
TMC-Behavioral Health of West GeorgiaGroup PAC ID 2163714635, 37 clinicians

Practice addresses (Care Compare)

101 Quartz Dr
Suite 103B
Villa Rica, GA 30180-3201
Phone (770) 812-3580

1030 Main St S
Suite 201
Wedowee, AL 36278-7440
Phone (770) 812-3530

Hospital & facility affiliations

  • Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
  • Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Wedowee Specialty Clinic Inc CurrentSince Mar 26, 2024 Accepting new patients
TMC-Behavioral Health of West Georgia CurrentSince Sep 4, 2019 Accepting new patients
Geps Physician Group of Georgia PC CurrentSince Sep 9, 2015 Accepting new patients
Personal Recovery Network LLC Psychiatry CurrentSince Jun 5, 2013 Accepting new patients
State of Hawaii Department of Health Psychiatry Past Accepting new patients

Locations

1030 Main St S
Ste 201
Wedowee, AL 36278
Phone (256) 357-2188

2850 Springdale Rd SW
Atlanta, GA 30315
Phone (404) 616-8100

100 Greenway Blvd
Fl 2
Carrollton, GA 30117
Phone (770) 838-8710

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

101 Quartz Dr
Ste 103B
Villa Rica, GA 30180
Phone (770) 812-3580

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1114940095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301707",
            "telephone_number": "404-508-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301707",
            "telephone_number": "404-508-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODDAPANENI",
        "first_name": "SASIKANTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "057797",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "057797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.