Active NPI
Bhagat K. Reddy, MD
- Interventional Cardiology Physician
- Ellijay, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 055012
- Practice address
- 14244 Highway 515 N Ste 100
Ellijay, GA 30536-2029 - Phone
- (404) 996-6596
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 055012 | GA | |
| Interventional Cardiology Physician | 207RI0011X | 055012 | GA | Primary |
Addresses
Primary practice location
14244 Highway 515 N Ste 100
Ellijay, GA 30536-2029
Mailing address
6105 Peachtree Dunwoody Rd Ste A150
Atlanta, GA 30328-5944
Phone (404) 996-6596
Other practice location 1
130 Sparta Hwy
Eatonton, GA 31024-8484
Phone (404) 996-6596
Other practice location 2
88 Clinic Rd
Tate, GA 30177-2588
Phone (404) 996-6596
Other practice location 3
6105 Peachtree Dunwoody Rd
Building a-Ste
Atlanta, GA 30328-5909
Phone (404) 376-1021
Other practice location 4
120 Gordon St
Washington, GA 30673-1602
Phone (404) 996-6596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 983326893AM | Medicaid | GA | |
| 983326893FGNOPQRS | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DHAUGUSTA.COCAG.GAA@CCDA.HCADIRECT.NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3624 J Dewey Gray Cir
Suite 301
Augusta, GA 30909-6580
Phone (706) 855-5650
Hospital & facility affiliations
- Doctors Hospital
- Wellstar MCG Health, Affiliated With Med Col
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Services Corporation of Southern Illinois Inc. | Current | Accepting new patients | |
| Augusta Primary Care Services LLC | Current | Accepting new patients | |
| Hamilton Medical Center, Inc. | Current | Accepting new patients | |
| Paulding Medical Center, Inc. | Past | Accepting new patients | |
| American Cardiovascular Centers, P.C. | Past | Accepting new patients | |
| Piedmont Hospital, Inc | Past | Accepting new patients | |
| Piedmont Cardiac Disease Specialists, LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
2357 Tobacco Rd
Augusta, GA 30906
Phone (706) 722-3855
3623 J Dewey Gray Cir
Ste 210
Augusta, GA 30909
Phone (706) 651-5780
3624 J Dewey Gray Cir
Ste 301
Augusta, GA 30909
Phone (706) 651-2636
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
120 Gordon St
Washington, GA 30673
Phone (706) 678-1177
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
2 Good Samaritan Way
Ste 220
Mount Vernon, IL 62864
Phone (618) 899-3900
Interoperability endpoints
- dhaugusta.cocag.gaa@ccda.hcadirect.net
Organizations & group practices 7
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
- Augusta, GA
- NPI 1952565210
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
- NPI 1306357470
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1124294640
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1912951963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1144225293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6105 PEACHTREE DUNWOODY RD STE A150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285944",
"telephone_number": "404-996-6596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14244 HIGHWAY 515 N STE 100",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305362029",
"telephone_number": "404-996-6596"
}
],
"practiceLocations": [
{
"address_1": "130 Sparta Hwy",
"address_purpose": "LOCATION",
"city": "Eatonton",
"state": "GA",
"postal_code": "310248484",
"country_code": "US",
"telephone_number": "404-996-6596",
"fax_number": "770-557-0535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "88 Clinic Rd",
"address_purpose": "LOCATION",
"city": "Tate",
"state": "GA",
"postal_code": "301772588",
"country_code": "US",
"telephone_number": "404-996-6596",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6105 Peachtree Dunwoody Rd",
"address_2": "BUILDING A-STE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303285909",
"country_code": "US",
"telephone_number": "404-376-1021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Gordon St",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "GA",
"postal_code": "306731602",
"country_code": "US",
"telephone_number": "404-996-6596",
"fax_number": "770-557-0535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "BHAGAT",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "055012",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "055012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "983326893AM",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "983326893FGNOPQRS",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DHAUGUSTA.COCAG.GAA@CCDA.HCADIRECT.NET",
"affiliation": "N",
"address_1": "6105 Peachtree Dunwoody Rd",
"address_2": "BUILDING A-STE",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303285909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ellijay, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.