NPIMap

Individual provider Active NPI

Sailaja K Gadde, M.D.

  • Family Medicine Physician
  • Suwanee, GA
National Provider Identifier
1306892732
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042247 Issued in GA
Practice address
3890 Johns Creek Pkwy Ste 230
Suwanee, GA 30024-1286
Phone
(770) 623-1331
Fax
(770) 623-5674
NPI assigned
May 26, 2006
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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 042247 GA Primary

Addresses

Primary practice location

3890 Johns Creek Pkwy Ste 230
Suwanee, GA 30024-1286

Mailing address

4375 Johns Creek Pkwy
Suite 320
Suwanee, GA 30024-6085
Phone (770) 623-1331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SailajaGadde@pnfm.allscriptsdirect.net Direct

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
I20060104000792 GA Practitioner - Family Practice 6608899760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Perimeter Professional Services, LLCGroup PAC ID 9032337423, 21 clinicians

Practice addresses (Care Compare)

3890 Johns Creek Pkwy
Suite 230
Suwanee, GA 30024-1286
Phone (770) 395-1130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042247GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Professional Services, LLC Family Medicine CurrentSince Jul 15, 2014 Accepting new patients
Perimeter North Family Practice LLC Family Medicine PastSince Aug 5, 2012 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 130
Alpharetta, GA 30005
Phone (770) 664-8898

960 Johnson Fy Rd NE
Ste 300
Sandy Springs, GA 30342
Phone (404) 255-7325

3890 Johns Creek Pkwy
Ste 230
Suwanee, GA 30024
Phone (770) 395-1130

4375 Johns Creek Pkwy
Ste 320
Suwanee, GA 30024
Phone (770) 623-1331

Interoperability endpoints

  • Direct secure messaging: sailajagadde@pnfm.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1306892732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 JOHNS CREEK PKWY",
            "address_2": "SUITE 320",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246085",
            "telephone_number": "770-623-1331",
            "fax_number": "770-623-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY STE 230",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241286",
            "telephone_number": "770-623-1331",
            "fax_number": "770-623-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDE",
        "first_name": "SAILAJA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SailajaGadde@pnfm.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "3890 Johns Creek Pkwy Ste 230",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300241286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.