Individual provider Active NPI

Abhinav Venkat Reddy, MD

  • Radiation Oncology Physician
  • Canton, GA
National Provider Identifier
1124524491
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
96409 Issued in GA
Practice address
460 Northside Cherokee Blvd Ste T10
Canton, GA 30115-8017
Phone
(770) 721-9000
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 96409 GA Primary

Addresses

Primary practice location

460 Northside Cherokee Blvd Ste T10
Canton, GA 30115-8017

Mailing address

460 Northside Cherokee Blvd Ste T10
Canton, GA 30115-8017
Phone (770) 721-9000

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
I20230817002940 GA Practitioner - Radiation Oncology 5496084923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians

Practice addresses (Care Compare)

460 Northside Cherokee
Suite T10
Canton, GA 30115
Phone (770) 721-9000

Hospital & facility affiliations

  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96409GAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Professional Services LLC Radiation Oncology CurrentSince Sep 11, 2023 Accepting new patients
Northside Hospital, Inc. PastSince Jul 23, 2023 Accepting new patients
Radiotherapy Clinics of Georgia,LLC Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste B
Alpharetta, GA 30005
Phone (770) 442-1413

3330 Preston Ridge Rd
Ste 100
Alpharetta, GA 30005
Phone (770) 255-7500

1110 W Peachtree St NW
Ste 100
Atlanta, GA 30309
Phone (404) 575-2050

791 Oak St
Ste 100
Atlanta, GA 30354

308 Deep South Farm Rd
Blairsville, GA 30512
Phone (678) 493-2527

460 Northside Cherokee Blvd
Ste T10
Canton, GA 30115
Phone (770) 479-1761

1293 Wellbrook Cir NE
Ste 100
Conyers, GA 30012

7174 Wheat St NE
Ste 100
Covington, GA 30014

1100 Northside Forsyth Dr
Ste 140
Cumming, GA 30041
Phone (720) 382-1012

2349 Lawrenceville Hwy
Ste 100
Decatur, GA 30033

1000 Cowles Clinic Way
Ste E-100
Greensboro, GA 30642
Phone (478) 412-2880

214 Perry Hwy
Hawkinsville, GA 31036
Phone (478) 783-4022

14 Sammy McGhee Blvd
Ste 200
Jasper, GA 30143
Phone (770) 224-1000

311 Philip Blvd
Ste 100
Lawrenceville, GA 30046

698 Duluth Hwy
Ste 100
Lawrenceville, GA 30046
Phone (770) 822-0788

308 Coliseum Dr
Ste 100
Macon, GA 31217
Phone (478) 742-2278

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1770 Presidential Cir
Ste 100
Snellville, GA 30078

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 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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1124524491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 NORTHSIDE CHEROKEE BLVD STE T10",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158017",
            "telephone_number": "770-721-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 NORTHSIDE CHEROKEE BLVD STE T10",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158017",
            "telephone_number": "770-721-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "ABHINAV",
        "middle_name": "VENKAT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "96409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.