Individual provider Active NPI

Sowmya Reddy, MD

  • Obstetrics & Gynecology Physician
  • Alpharetta, GA
National Provider Identifier
1295829059
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
060596 Issued in GA
Practice address
2905 Jordan CT Ste G
Alpharetta, GA 30004-8966
Phone
(678) 335-9223
Fax
(678) 335-9236
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 060596 GA Primary

Addresses

Primary practice location

2905 Jordan CT Ste G
Alpharetta, GA 30004-8966

Mailing address

2905 Jordan CT Ste G
Alpharetta, GA 30004-8966
Phone (678) 335-9223

Other identifiers 3

IdentifierTypeStateIssuer
202I164160OtherMEDICARE PTAN
569399OtherGAWELLCARE
450094819EMedicaidGA

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
I20110118000840 GA Practitioner - Obstetrics/Gynecology 3971501818 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sowmya.reddy.1@9819.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9819/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1295829059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 JORDAN CT STE G",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048966",
            "telephone_number": "678-335-9223",
            "fax_number": "678-335-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 JORDAN CT STE G",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048966",
            "telephone_number": "678-335-9223",
            "fax_number": "678-335-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SOWMYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "060596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I164160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "569399",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450094819E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.