Individual provider Active NPI

Akhil Reddy

  • Internal Medicine Physician
  • Fort Mill, SC
National Provider Identifier
1124721204
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
97495 Issued in SC
Practice address
1000 Wellness Way
Fort Mill, SC 29715-7315
Phone
(803) 802-3662
NPI assigned
Mar 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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 97495 SC Primary

Addresses

Primary practice location

1000 Wellness Way
Fort Mill, SC 29715-7315

Mailing address

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (972) 942-0954

Other practice location 1

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 329-1234

Other names 1

  • Akhil Reddyreddy Reddy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1445 Boxwood Dr
Blackwood, NJ 08012-4903

1643 NW 136 Ave
Sunrise, FL 33323-2857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1124721204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 HERLONG AVE S",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321158",
            "telephone_number": "972-942-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WELLNESS WAY",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157315",
            "telephone_number": "803-802-3662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Herlong Ave S",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321158",
            "country_code": "US",
            "telephone_number": "803-329-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "AKHIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "97495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AKHIL",
            "last_name": "REDDY",
            "middle_name": "REDDYREDDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.