Active NPI
Venkata Gandi, MD
- Internal Medicine Physician
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13980
- Practice address
- 2501 N Patterson St
Valdosta, GA 31602-1735 - Phone
- (229) 333-1000
- NPI assigned
- Jul 6, 2022
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13980 | GA | Primary |
Addresses
Primary practice location
2501 N Patterson St
Valdosta, GA 31602-1735
Mailing address
23257 Southdown Manor Ter Unit 106
Ashburn, VA 20148-8176
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250812003613 | GA | Practitioner - Internal Medicine | 1658879218 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13980 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Medical Center Inc | Current | Accepting new patients | |
| South Georgia Medical Center Inc | Current | Accepting new patients | |
| Apogee Medical Group Georgia | Internal Medicine | Current | Accepting new patients |
Locations
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
Interoperability endpoints
- mgandi68266@sgmc.gadirect.net
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1629025143
GA, Internal Medicine
-
- Critical Access Hospital
- Lakeland, GA
- NPI 1215703632
-
- Nursing Facility/Intermediate Care Facility
- Lakeland, GA
- NPI 1396511713
-
- Psychiatric Hospital Unit
- Nashville, GA
- NPI 1497521801
-
- Rehabilitation Hospital Unit
- Valdosta, GA
- NPI 1598531907
-
- General Acute Care Hospital
- Nashville, GA
- NPI 1689440091
-
- Medicare Defined Swing Bed Hospital Unit
- Lakeland, GA
- NPI 1851167274
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- South Georgia Medical Center IncApogee Medical Group Georgia
Practice addresses (Care Compare)
2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 433-1000
604 E Park Ave
Valdosta, GA 31602-3060
Phone (229) 433-5260
Hospital & facility affiliations
- SGMC Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1124751235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23257 SOUTHDOWN MANOR TER UNIT 106",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201488176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N PATTERSON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021735",
"telephone_number": "229-333-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDI",
"first_name": "VENKATA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-06",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "13980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.