Individual provider Active NPI

Bhavani Merugu, MD

  • Family Medicine Physician
  • Loganville, GA
National Provider Identifier
1295212439
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
90349 Issued in GA
Practice address
4593 Lawrenceville Rd
Loganville, GA 30052-7320
Phone
(770) 466-8672
NPI assigned
Jul 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 90349 GA Primary

Addresses

Primary practice location

4593 Lawrenceville Rd
Loganville, GA 30052-7320

Mailing address

4593 Lawrenceville Rd
Loganville, GA 30052-7320
Phone (770) 466-8672

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
I20220128001570 GA Practitioner - Family Practice 3678824364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Primary Clinic LLCGroup PAC ID 5294224226, 2 clinicians

Practice addresses (Care Compare)

920 Peachtree Pkwy
Suite 110
Cumming, GA 30041-6823
Phone (770) 800-3372

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjeev S Tendolkar MD LLC Family Medicine CurrentSince Jan 24, 2022 Accepting new patients
Family First Primary Clinic LLC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
William a. Delp,Jr. DO,PC Family Medicine PastSince Jan 26, 2022 Accepting new patients

Locations

920 Peachtree Pkwy
Ste 110
Cumming, GA 30041
Phone (770) 800-3372

4593 Lawrenceville Rd
#10
Loganville, GA 30052
Phone (770) 466-8672

4593 Lawrenceville Rd
Loganville, GA 30052
Phone (770) 456-8672

4589 Lawrenceville Rd
Loganville, GA 30052
Phone (770) 466-8672

Interoperability endpoints

  • Direct secure messaging: bmerugu158424@direct-guthrie.org

Organizations & group practices 3

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1295212439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4593 LAWRENCEVILLE RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527320",
            "telephone_number": "770-466-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4593 LAWRENCEVILLE RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527320",
            "telephone_number": "770-466-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERUGU",
        "first_name": "BHAVANI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "90349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

Verify at the official NPI Registry.