Active NPI
Abhinav Venkat Reddy, MD
- Radiation Oncology Physician
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 96409
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
460 Northside Cherokee
Suite T10
Canton, GA 30115
Phone (770) 721-9000
Hospital & facility affiliations
- Northside Hospital Cherokee
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.79 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 96409 | GA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Radiation Oncology | Current | Accepting new patients |
| Northside Hospital, Inc. | Past | 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.
-
- Rehabilitation Hospital Unit
- Duluth, GA
- NPI 1134168016
-
- Specialist
- Decatur, GA
- NPI 1851449540
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.