NPIMap

Individual provider Active NPI

Neetu Pannala-Lakshma Reddy, MD

  • Internal Medicine Physician
  • Jasper, GA
National Provider Identifier
1124062534
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
079010 Issued in GA
Practice address
220 J L White Dr Ste 150
Jasper, GA 30143-4895
Phone
(706) 299-2200
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 079010 GA Primary

Addresses

Primary practice location

220 J L White Dr Ste 150
Jasper, GA 30143-4895

Mailing address

220 J L White Dr Ste 150
Jasper, GA 30143-4895
Phone (706) 299-2200

Other identifiers 2

IdentifierTypeStateIssuer
1015276170001MedicaidPA
0096288MedicaidNJ

Other names 1

  • Neetu P Reddy Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011003621 GA Practitioner - Internal Medicine 3274555313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

220 JL White Dr
Suite 100
Jasper, GA 30143-4984
Phone (706) 692-1866

Hospital & facility affiliations

  • Amedisys Northwest Home Health Home health agency, Jasper, GA, CCN 117064
  • Pruitthealth at Home - Gainesville Home health agency, Gainesville, GA, CCN 117129
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

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
079010GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Internal Medicine CurrentSince Sep 25, 2017 Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients
Apogee Medical Group of New Jersey PA Internal Medicine Past Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine PastSince Oct 8, 2023 Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

105 Collier Rd NW
Ste 2070
Atlanta, GA 30309
Phone (404) 350-3860

220 J L White Dr
Ste 150
Jasper, GA 30143
Phone (706) 253-2430

Organizations & group practices 5

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 8

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124062534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 J L WHITE DR STE 150",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434895",
            "telephone_number": "706-299-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 J L WHITE DR STE 150",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434895",
            "telephone_number": "706-299-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "NEETU",
        "middle_name": "PANNALA-LAKSHMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "079010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015276170001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096288",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEETU",
            "last_name": "REDDY",
            "middle_name": "P",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jasper, GA

Sources for this page

Verify at the official NPI Registry.