Active NPI
South Atlanta Pulmonary & Critical Care Associates
- Pulmonary Disease Physician
- Riverdale, GA
National Provider Identifier
1255486387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- GA023852
- Legal business name
- SOUTH ATLANTA PULMONARY & CRITICAL CARE ASSOCIATES
- Practice address
- 483 Upper Riverdale Rd SW
Suite a
Riverdale, GA 30274-2584 - Phone
- (770) 991-3888
- Fax
- (770) 994-0278
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rao S Mikkilineni, MD
- Title
- MD
- Phone
- (770) 991-3888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | GA0233852 | GA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | GA023852 | GA | |
| Pulmonary Disease Physician | 207RP1001X | GA023852 | GA | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | GA023852 | GA |
Addresses
Primary practice location
483 Upper Riverdale Rd SW
Suite a
Riverdale, GA 30274-2584
Mailing address
483 Upper Riverdale Rd SW
Suite a
Riverdale, GA 30274-2584
Phone (770) 991-3888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120103000113 | GA | Part B Supplier - Clinic/Group Practice | 6406022052 |
Receives reassigned benefits from 1 practitioner Practice locations: Riverdale, GA |
National Provider Directory
National Provider DirectoryLocations
483 Upper Riverdale Rd SW
Ste A
Riverdale, GA 30274
Phone (404) 991-3888
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Riverdale, GA
- NPI 1235130808
GA, Internal Medicine
-
- Allergy & Immunology Physician
- Rockville, MD
- NPI 1952592818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770076800000",
"number": "1255486387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 UPPER RIVERDALE RD SW",
"address_2": "SUITE A",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742584",
"telephone_number": "770-991-3888",
"fax_number": "770-994-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 UPPER RIVERDALE RD SW",
"address_2": "SUITE A",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742584",
"telephone_number": "770-991-3888",
"fax_number": "770-994-0278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH ATLANTA PULMONARY & CRITICAL CARE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A",
"authorized_official_last_name": "MIKKILINENI",
"authorized_official_first_name": "RAO",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "770-991-3888",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "GA0233852",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "GA023852",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "GA023852",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "GA",
"license": "GA023852",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, GA
- Ayodeji Sotimehin
- South Atlanta Medical Care
- South Atlanta Neurology and Diagnostics, P.C.
- South Atlanta Pediatrics
- South Atlanta Psychiatry LLC
- South Atlanta Radiology Associates, P.C.
- South Metro Primary Care
- South Metro Primary Care,P.C.
- South Sound Inpatient Physicians, PLLC
- Southern Crescent Hospital for Specialty Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.