Srividya Ganesh Iyer, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN240200 Issued in GA

Practice address

73 Prestige LN Ste 103
Dawsonville, GA 30534-6370

Phone

(706) 265-8002

NPI assigned

Mar 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Srividya Ganesh Iyer Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• North Georgia Neprology Consultants LLC

  • Nephrology Physician
  • Athens, GA
  • NPI 1275668394
  Medicare reassignment NPD

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1205584380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 SAINT ANDREWS CREST DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409364",
            "telephone_number": "864-363-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PRESTIGE LN STE 103",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346370",
            "telephone_number": "706-265-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYER",
        "first_name": "SRIVIDYA",
        "middle_name": "GANESH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN240200",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "APRN-NP240200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRIVIDYA",
            "last_name": "IYER",
            "middle_name": "GANESH",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Independent Physical Therapy of Ga, LLC (Benchmark PT)
• Independent Physical Therapy of Ga, LLC
• Independent Physical Therapy of Ga, LLC
• Interventional Spine and Pain Management Center, PC (Alliance Spine and Pain Centers)
• Interventional Spine and Pain Management Center, PC
• Rachel I Jacobs, MD
• Ashley Lashey James, PHARM.D.
• Courtney Jenkins, PT, DPT
• Jennifer Carson Dba Carson Counseling
• John P. Fox DDS, PC

• Gerontology Nurse Practitioner in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Gerontology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.

Verify at the official NPI Registry.