Vijayasudha Gunna, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

55232 Issued in GA

Practice address

11912 Jones Bridge Rd
Suite 201
Johns Creek, GA 30005-4613

Phone

(770) 754-1600

Fax

(770) 754-1605

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

EndocrinologyAlso: Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Hospital, Atlanta, GA, CCN 110161

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vijayasudha.gunna.1@22619.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22619/brand/1/csg/1/fhir/r4

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.

• Endocrinology and Diabetes of Georgia, P.C

  • Endocrinology, Diabetes & Metabolism Physician
  • Johns Creek, GA
  • NPI 1932468287
  Medicare reassignment NPD Authorized official
• 24 On Physicians, PC

  • Hospitalist Physician
  • Rome, GA
  • NPI 1912956251
  Medicare reassignment NPD
• 24 On Physicians, P.C.

  • Hospitalist Physician
  • Attleboro, MA
  • NPI 1790104511
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1285652784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 JONES BRIDGE RD",
            "address_2": "SUITE 201",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300054613",
            "telephone_number": "770-754-1600",
            "fax_number": "770-754-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 JONES BRIDGE RD",
            "address_2": "SUITE 201",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300054613",
            "telephone_number": "770-754-1600",
            "fax_number": "770-754-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNA",
        "first_name": "VIJAYASUDHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "55232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003112003B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003112003A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Patrick Gruta
• GSC Homecare, LLC
• Alexis Guillot
• Laura A Gullicksen, CRNA
• Jan Denise Gunn, P.A.-C.
• Edward Gurin, CPO
• Amanda Gustin, PT, DPT
• Kellie Gwaltney, MA, LMFT, LPC
• H&B Family Dental, LLC
• Sunyoung Ha

• Endocrinology, Diabetes & Metabolism Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.

Verify at the official NPI Registry.