NPIMap

Individual provider Active NPI

Karunaker Reddy Sripathi, MD

  • Internal Medicine Physician
  • Perry, GA
National Provider Identifier
1225087406
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044110 Issued in GA
Practice address
209 Wes Park Drive
Perry Primary Care
Perry, GA 31069
Phone
(478) 987-2578
Fax
(478) 987-2598
NPI assigned
May 8, 2006
Last updated
Aug 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 044110 GA Primary

Addresses

Primary practice location

209 Wes Park Drive
Perry Primary Care
Perry, GA 31069

Mailing address

209 Wes Park Drive
Perry Primary Care
Perry, GA 31069
Phone (478) 987-2578

Other identifiers 1

IdentifierTypeStateIssuer
000771251DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050517000411 GA Practitioner - Internal Medicine 2961443478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

1255 Friendship Rd
Suite 130
Braselton, GA 30517-5617
Phone (770) 442-1911

209 Wes Park Dr
Perry, GA 31069-4829
Phone (770) 442-1911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044110GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. CurrentSince Apr 26, 2023 Accepting new patients
Houston Hospitals Inc CurrentSince Aug 17, 2009 Accepting new patients
South Central Primary Care Center, Inc Past Accepting new patients
Morningside Emergency Physicians LLC Past Accepting new patients
Houston Hospitals Inc Past Accepting new patients

Locations

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

209 Wes Park Dr
Perry, GA 31069
Phone (478) 987-2578

209 Wes Park Dr
Ste A
Perry, GA 31069

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDGFCA/Endpoint/CDGFCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1225087406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WES PARK DRIVE",
            "address_2": "PERRY PRIMARY CARE",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "31069",
            "telephone_number": "478-987-2578",
            "fax_number": "478-987-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WES PARK DRIVE",
            "address_2": "PERRY PRIMARY CARE",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "31069",
            "telephone_number": "478-987-2578",
            "fax_number": "478-987-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIPATHI",
        "first_name": "KARUNAKER",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000771251D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.