Individual provider Active NPI

Satya Sailaja Bindu Gandrapu Balanaga, MD

  • General Practice Physician
  • Rome, GA
National Provider Identifier
1215546999
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
90971 Issued in GA
Practice address
310 W 10TH St NE
Rome, GA 30165-2639
Phone
(413) 447-2839
Fax
(413) 447-2088
NPI assigned
Jul 28, 2020
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 281011 MA
General Practice Physician 208D00000X 90971 GA Primary

Addresses

Primary practice location

310 W 10TH St NE
Rome, GA 30165-2639

Mailing address

310 W 10TH St NE
Rome, GA 30165-2639
Phone (512) 434-9064

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Meditech

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019000344 GA Practitioner - General Practice 5890141386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281011MAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond C McKoy, DO, PC General Practice Current Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Sep 11, 2023 Accepting new patients

Locations

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

310 W 10th St NE
Rome, GA 30165
Phone (512) 434-9064

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1215546999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W 10TH ST NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652639",
            "telephone_number": "512-434-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W 10TH ST NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652639",
            "telephone_number": "413-447-2839",
            "fax_number": "413-447-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDRAPU BALANAGA",
        "first_name": "SATYA SAILAJA BINDU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "281011",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "90971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Meditech",
            "affiliation": "N",
            "address_1": "310 W 10th St NE",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301652639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.