Individual provider Active NPI

Ravi Kiran Grandhi, MD

  • Anesthesiology Physician
  • Tifton, GA
National Provider Identifier
1235586777
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
085889 Issued in GA
Practice address
901 18TH St E
Tifton, GA 31794-3648
Phone
(229) 382-7120
NPI assigned
May 14, 2016
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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
Anesthesiology Physician 207L00000X 085889 GA Primary

Addresses

Primary practice location

901 18TH St E
Tifton, GA 31794-3648

Mailing address

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Other practice location 1

500 Gypsy Ln
Youngstown, OH 44504-1315
Phone (330) 884-4250

Other practice location 2

2540 Windy Hill Rd SE
Marietta, GA 30067-8605
Phone (470) 644-1274

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ravi.grandhi@trhs.cernerdirect.com
Direct Messaging Address rgrandhi514960@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200804002633 GA Practitioner - Anesthesiology 0648565440 Reassigns benefits to 9 organizations
I20220411000095 PA Practitioner - Anesthesiology 0648565440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redmond Anesthesia and Pain Treatment, PCGroup PAC ID 4880841741, 77 clinicians
Medical Center Anesthesiology of AthensGroup PAC ID 1456246230, 79 clinicians
Precision Anesthesia Partners LLCGroup PAC ID 5991193088, 20 clinicians

Practice addresses (Care Compare)

1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Phone (706) 602-7800

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 543-3449

180 N Park TRL
Suite 100
Stockbridge, GA 30281-7372
Phone (678) 541-5552

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085889GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Anesthesiology of Athens Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Precision Anesthesia Partners LLC Anesthesiology CurrentSince Jan 2, 2024 Accepting new patients
Sentry Anesthesia Management, LLC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Gi Anesthesia of Georgia LLC Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Concordia Anesthesiology, Inc Anesthesiology CurrentSince Feb 10, 2024 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Anesthesiology CurrentSince Apr 4, 2022 Accepting new patients
Coastal Ambulatory Anesthesia LLC Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Premier Anesthesia of Georgia LLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Redmond Anesthesia and Pain Treatment, PC Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients
Ambulatory Anesthesia Partners LLC Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients

Locations (25 of 27)

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

3672 Marathon Cir
Ste 200
Austell, GA 30106
Phone (770) 944-3303

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

318 Tribble Gap Rd
Cumming, GA 30040
Phone (770) 889-0891

1240 Jesse Jewell Pkwy SE
Ste 360
Gainesville, GA 30501
Phone (770) 534-9420

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

2061 Beverly Rd
Gainesville, GA 30501
Phone (706) 867-4116

466 Green St NE
Gainesville, GA 30501
Phone (404) 242-6360

6335 Hospital Pkwy
Ste 208
Johns Creek, GA 30097
Phone (404) 645-7150

550 Professional Dr
Lawrenceville, GA 30046
Phone (404) 953-0495

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

1357 Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 990-9851

1100 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 255-9096

218 Sandy Springs Pl
Sandy Springs, GA 30328
Phone (404) 257-0611

5671 Ptree Dunwoody Rd NE
Ste 680
Sandy Springs, GA 30342
Phone (404) 705-6985

5730 Glenridge Dr
Ste T150
Sandy Springs, GA 30328
Phone (404) 256-5428

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111

Organizations & group practices 10

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 1

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": "1463184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1235586777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 18TH ST E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943648",
            "telephone_number": "229-382-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 18TH ST E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943648",
            "telephone_number": "229-382-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Gypsy Ln",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041315",
            "country_code": "US",
            "telephone_number": "330-884-4250",
            "fax_number": "330-884-0651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2540 Windy Hill Rd SE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300678605",
            "country_code": "US",
            "telephone_number": "470-644-1274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANDHI",
        "first_name": "RAVI",
        "middle_name": "KIRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-14",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "085889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ravi.grandhi@trhs.cernerdirect.com",
            "affiliation": "N",
            "address_1": "901 18th St E",
            "city": "Tifton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317943648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgrandhi514960@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2540 Windy Hill Rd SE",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300678605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

Verify at the official NPI Registry.