Active NPI
Pramod Gaudel, M.D
- Hematology & Oncology Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 95189
- Practice address
- 3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400 - Phone
- (706) 353-2990
- Fax
- (706) 353-2992
- NPI assigned
- Aug 31, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 036159886 | IL | |
| Hematology & Oncology Physician | 207RH0003X | 01089884A | IN | |
| Hematology & Oncology Physician | 207RH0003X | 95189 | GA | Primary |
Addresses
Primary practice location
3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400
Mailing address
3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400
Phone (706) 353-2990
Other practice location 1
3991 Highway 78 W Ste 102
Snellville, GA 30039-3929
Phone (706) 353-2990
Other practice location 2
4182 Highway 278 NE
Covington, GA 30014-2494
Phone (678) 712-6921
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3320 Old Jefferson Rd
BLDG 700
Athens, GA 30607-1465
Phone (706) 353-2990
Hospital & facility affiliations
- Piedmont Eastside Medical Center
- Piedmont Newton Hospital
- Piedmont Athens Regional Medical Center
- Piedmont Rockdale Hospital
- Northside Hospital Gwinnett
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036159886 | IL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Cancer & Blood Center LLC | Hematology & Oncology | Current | Accepting new patients |
| University Health Alliance | Hematology & Oncology | Past | Accepting new patients |
Locations
3320 Old Jefferson Rd
Ste 600
Athens, GA 30607
Phone (706) 549-4155
3320 Old Jefferson Rd
Bldg 700
Athens, GA 30607
Phone (706) 224-6348
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100
3320 Old Jefferson Rd
Bldg 800
Athens, GA 30607
Phone (706) 353-2290
110 Mercer Pl
Commerce, GA 30529
Phone (706) 335-2302
4182 Highway 278 NE
Covington, GA 30014
Phone (678) 712-6921
119 Harmony Xing
Ste 1
Eatonton, GA 31024
Phone (762) 220-1880
355 Clear Creek Pkwy
Ste 2007
Lavonia, GA 30553
Phone (706) 356-2934
2151 W Spring St
Ste B200
Monroe, GA 30655
Phone (770) 267-0724
3991 Stone Mountain Hwy
Snellville, GA 30039
Phone (470) 482-6933
3991 Highway 78 W
Ste 102
Snellville, GA 30039
Phone (706) 715-2010
1656 Falls Rd
Ste B
Toccoa, GA 30577
Phone (706) 886-0392
1460 Resurgence Dr
Watkinsville, GA 30677
Phone (706) 715-2410
295 N Broad St
Winder, GA 30680
Phone (678) 963-0939
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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Athens, GA
- NPI 1346343761
-
- Hematology & Oncology Physician
- Athens, GA
- NPI 1972239440
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1235506825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 OLD JEFFERSON RD BLDG 800",
"city": "ATHENS",
"state": "GA",
"postal_code": "306071400",
"telephone_number": "706-353-2990",
"fax_number": "706-353-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 OLD JEFFERSON RD BLDG 800",
"city": "ATHENS",
"state": "GA",
"postal_code": "306071400",
"telephone_number": "706-353-2990",
"fax_number": "706-353-2992"
}
],
"practiceLocations": [
{
"address_1": "3991 Highway 78 W Ste 102",
"address_purpose": "LOCATION",
"city": "Snellville",
"state": "GA",
"postal_code": "300393929",
"country_code": "US",
"telephone_number": "706-353-2990",
"fax_number": "706-353-2992",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4182 Highway 278 NE",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "GA",
"postal_code": "300142494",
"country_code": "US",
"telephone_number": "678-712-6921",
"fax_number": "678-712-6923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAUDEL",
"first_name": "PRAMOD",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-31",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036159886",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01089884A",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "GA",
"license": "95189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.