Individual provider Active NPI

Satya S Thippareddi, MD

  • Family Medicine Physician
  • Athens, GA
National Provider Identifier
1174537567
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TEP4863 Issued in NE
Practice address
55 Carlton St
Athens, GA 30602-4586
Phone
(706) 542-8638
Fax
(706) 542-8621
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TEP4863 NE Primary

Addresses

Primary practice location

55 Carlton St
Athens, GA 30602-4586

Mailing address

55 Carlton St
Athens, GA 30602-1503
Phone (706) 542-8638

Other identifiers 1

IdentifierTypeStateIssuer
47055301100MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061005000555 IA Practitioner - Family PracticePractitioner - Emergency Medicine 0941206452 Reassigns benefits to 2 organizations
I20170802001363 GA Practitioner - Family Practice 0941206452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Board of Regents of the University System of GeorgiaGroup PAC ID 8729060967, 9 clinicians

Practice addresses (Care Compare)

55 Carlton St
Athens, GA 30602-1755
Phone (706) 542-8621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TEP4863NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarinda Regional Health Center Family Medicine CurrentSince Nov 22, 2014 Accepting new patients
Board of Regents of the University System of Georgia CurrentSince Sep 1, 2022 Accepting new patients
Board of Regents of the University System of Georgia Current Accepting new patients
Shenandoah Medical Center Family Medicine CurrentSince Oct 1, 2013 Accepting new patients
Shenandoah Medical Center CurrentSince Oct 1, 2013 Accepting new patients
Shenandoah Medical Center Current Accepting new patients
Shenandoah Medical Center Current Accepting new patients
Board of Regents of the University System of Georgia CurrentSince Sep 1, 2022 Accepting new patients
Haysam Akkad, MD, PC Past Accepting new patients
University Health Center, University of Ga Health Center Pharmacy Past Accepting new patients

Locations

55 Carlton St
Athens, GA 30602
Phone (706) 542-2273

110 Carlton St
Athens, GA 30602
Phone (706) 542-4598

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240

300 Pershing Ave
#C
Shenandoah, IA 51601
Phone (712) 246-1230

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1174537567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CARLTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306021503",
            "telephone_number": "706-542-8638",
            "fax_number": "706-542-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CARLTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306024586",
            "telephone_number": "706-542-8638",
            "fax_number": "706-542-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIPPAREDDI",
        "first_name": "SATYA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "TEP4863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055301100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.