Individual provider Active NPI

Pramod Gaudel, M.D

  • Hematology & Oncology Physician
  • Athens, GA
National Provider Identifier
1235506825
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
95189 Issued in GA
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

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230825000170 GA Practitioner - Hematology/Oncology 0143555748 Reassigns benefits to 1 organization

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036159886ILMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Cancer & Blood Center LLC Hematology & Oncology CurrentSince Aug 1, 2023 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.