NPIMap

Individual provider Active NPI

Shyla Reddy, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Alpharetta, GA
National Provider Identifier
1295774305
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
25425 Issued in AL
Practice address
480 N Main St Ste 202
Alpharetta, GA 30009-8386
Phone
(678) 619-1974
Fax
(678) 619-1975
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 25425 AL Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 71622 GA

Addresses

Primary practice location

480 N Main St Ste 202
Alpharetta, GA 30009-8386

Mailing address

PO Box 1385
P O Box 1385
Alpharetta, GA 30009-1385
Phone (678) 619-1974

Other identifiers 9

IdentifierTypeStateIssuer
009932265MedicaidAL
1167568MedicaidLA
01-12861OtherALUNITED HEALTH CARE
202I085489OtherGAMEDICARE PTAN
268099800MedicaidFL
51538045OtherALBLUE CROSS
01778200MedicaidMS
51518001OtherALBLUE CROSS
003148835AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916002827 GA Practitioner - Family PracticePractitioner - Geriatric Medicine 9032248356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alpha Family Medicine IncGroup PAC ID 0345469797, 2 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

480 N Main St
Suite 202
Alpharetta, GA 30009-8386
Phone (678) 619-1974

901 Haymon Morris Rd
Winder, GA 30680-7837
Phone (678) 705-2123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25425ALMDGeriatric Medicine (Family Medicine) Physician
71622GAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Family Medicine Inc CurrentSince Jul 24, 2014 Accepting new patients
Cumming Operating Company LLC Past Accepting new patients
Chestnut Ridge Cypress LLC Past Accepting new patients

Locations

480 N Main St
Ste 202
Alpharetta, GA 30009
Phone (678) 433-9735

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9927/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shyla.reddy.1@9927.direct.athenahealth.com

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1295774305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1385",
            "address_2": "P O BOX 1385",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091385",
            "telephone_number": "678-619-1974",
            "fax_number": "678-619-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N MAIN ST STE 202",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098386",
            "telephone_number": "678-619-1974",
            "fax_number": "678-619-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SHYLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AL",
            "license": "25425",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "71622",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932265",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1167568",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "01-12861",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I085489",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268099800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51538045",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01778200",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51518001",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003148835A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.