NPIMap

Organization Active NPI

Infectious Disease Professionals, LLC

  • Infectious Disease Physician
  • Cumming, GA
National Provider Identifier
1174613459
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
50861 Issued in GA
Legal business name
INFECTIOUS DISEASE PROFESSIONALS, LLC
Practice address
101 Greenfield Dr Ste 100
Cumming, GA 30040-2727
Phone
(678) 845-7300
NPI assigned
Oct 15, 2006
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Mr. Suresh Vemulamada
Title
Manager
Phone
(352) 617-9649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 50861 GA Primary

Addresses

Primary practice location

101 Greenfield Dr Ste 100
Cumming, GA 30040-2727

Mailing address

PO Box 3988
Alpharetta, GA 30023-3988
Phone (678) 542-3499

Other practice location 1

4255 Johns Creek Pkwy Ste A
Suwanee, GA 30024-6122
Phone (678) 845-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611000896 GA Part B Supplier - Clinic/Group Practice 2567445372 Receives reassigned benefits from 2 practitioners
Practice locations: Cumming, GA; Suwanee, GA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

  • Medcity, LLC

    dba Medcity Urgent & Primary Care

    • Internal Medicine Physician
    • Oakwood, GA
    • NPI 1841053204

    Member Of

    NPD member

Locations

11379 Southbridge Pkwy
Ste C
Alpharetta, GA 30022

101 Greenfield Dr
Ste 100
Cumming, GA 30040
Phone 6787861314103

1090 Duluth Hwy
Lawrenceville, GA 30043
Phone (678) 517-5645

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1174613459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3988",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300233988",
            "telephone_number": "678-542-3499",
            "fax_number": "678-252-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREENFIELD DR STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402727",
            "telephone_number": "678-845-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4255 Johns Creek Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246122",
            "country_code": "US",
            "telephone_number": "678-845-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-15",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "VEMULAMADA",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-617-9649",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "50861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.