Individual provider Active NPI

Sri Rasmita Jalla

  • Internal Medicine Physician
  • Austell, GA
National Provider Identifier
1295302859
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12986 Issued in GA
Practice address
4444 Austell Rd
Austell, GA 30106-1844
Phone
(678) 460-2700
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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 12986 GA Primary
Nephrology Physician 207RN0300X 110804 GA

Addresses

Primary practice location

4444 Austell Rd
Austell, GA 30106-1844

Mailing address

7995 Cavendish PL
Suwanee, GA 30024-1571
Phone (678) 672-7988

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
I20260511000044 GA Practitioner - Internal Medicine 4082015821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Harbison Way
Suite 222
Columbia, SC 29212-3408

1120 15TH St
Augusta, GA 30912-0004

4444 Austell Rd
Austell, GA 30106-1844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12986GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Nephrology Hypertension Associates, PC Nephrology PastSince Mar 1, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjalla813625@direct.vumc.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCHBDA

Organizations & group practices 1

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1295302859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7995 CAVENDISH PL",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241571",
            "telephone_number": "678-672-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061844",
            "telephone_number": "678-460-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALLA",
        "first_name": "SRI RASMITA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "12986",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "110804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.