Individual provider Active NPI

Keerthi Reddy Padooru, MD

  • Hospitalist Physician
  • Decatur, GA
National Provider Identifier
1255713616
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
86441 Issued in GA
Practice address
3805 Covington Hwy
Decatur, GA 30032-2643
Phone
(404) 383-1300
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 86441 GA
Hospitalist Physician 208M00000X 86441 GA Primary

Addresses

Primary practice location

3805 Covington Hwy
Decatur, GA 30032-2643

Mailing address

6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Phone (678) 474-7038

Other practice location 1

6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Phone (678) 474-7038

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
I20201028003075 GA Practitioner - HospitalistPractitioner - Internal Medicine 9436457553 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86441GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince Mar 1, 2026 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Mar 1, 2026 Accepting new patients
The Emory Clinic Inc Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
PMR Georgia Holding, LLC PastSince Oct 8, 2023 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

1556 Park Hill Dr
Gainesville, GA 30501
Phone (678) 400-7001

Interoperability endpoints

  • Direct secure messaging: kpadooru302523@direct.emory.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1255713616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 HOSPITAL PKWY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975775",
            "telephone_number": "678-474-7038",
            "fax_number": "678-474-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322643",
            "telephone_number": "404-383-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6325 Hospital Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300975775",
            "country_code": "US",
            "telephone_number": "678-474-7038",
            "fax_number": "678-474-7033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADOORU",
        "first_name": "KEERTHI",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "86441",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "86441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.