Active NPI
Sreeroopsen M.D. LLC
- Internal Medicine Physician
- Hartwell, GA
National Provider Identifier
1306904438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SREEROOPSEN M.D. LLC
- Practice address
- 77 W Gibson St
Hartwell, GA 30643-1845 - Phone
- (706) 856-6973
- Fax
- (706) 856-6976
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Sue Holcombe
- Title
- Office Manager
- Phone
- (706) 856-6973
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
77 W Gibson St
Hartwell, GA 30643-1845
Mailing address
77 W Gibson St
Hartwell, GA 30643-1845
Phone (706) 856-6973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
77 W Gibson St
Hartwell, GA 30643
Phone (706) 856-6973
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Medicine Physician
- Hartwell, GA
- NPI 1114888690
-
- Family Nurse Practitioner
- Hartwell, GA
- NPI 1992466122
-
- Family Nurse Practitioner
- Hartwell, GA
- NPI 1891347381
-
- Internal Medicine Physician
- Hartwell, GA
- NPI 1477537819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266796800000",
"number": "1306904438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W GIBSON ST",
"city": "HARTWELL",
"state": "GA",
"postal_code": "306431845",
"telephone_number": "706-856-6973",
"fax_number": "706-856-6976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W GIBSON ST",
"city": "HARTWELL",
"state": "GA",
"postal_code": "306431845",
"telephone_number": "706-856-6973",
"fax_number": "706-856-6976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SREEROOPSEN M.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2010-02-22",
"status": "A",
"authorized_official_last_name": "HOLCOMBE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-856-6973"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartwell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.