Individual provider Active NPI

Priya Vamsi Bayyapureddy, M.D.

  • Internal Medicine Physician
  • Cumming, GA
National Provider Identifier
1336184126
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
055177 Issued in GA
Practice address
3850 Windermere Pkwy
Suite# 105
Cumming, GA 30041-7002
Phone
(678) 455-2800
Fax
(770) 888-9998
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 055177 GA Primary

Addresses

Primary practice location

3850 Windermere Pkwy
Suite# 105
Cumming, GA 30041-7002

Mailing address

3850 Windermere Pkwy
Suite# 105
Cumming, GA 30041-7002
Phone (678) 455-2800

Other identifiers 1

IdentifierTypeStateIssuer
376958020AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address priya.bayyapureddy@wmc.eclinicaldirect.com Direct

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
I20090319000317 GA Practitioner - Internal Medicine 1759448715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3850 Windermere Pkwy
Suite 105
Cumming, GA 30041-7002
Phone (678) 455-2800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince Feb 1, 2014 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Feb 1, 2014 Accepting new patients
Internal Medicine Associates of Johns Creek Internal Medicine Past Accepting new patients

Locations

386 Highway 441 Byp
Baldwin, GA 30511
Phone (706) 776-2815

200 Eagles Nest Dr
Bldg 300D
Canton, GA 30115
Phone (678) 455-3200

3850 Windermere Pkwy
Ste 105
Cumming, GA 30041
Phone (678) 455-2800

1695 Duluth Hwy
Lawrenceville, GA 30043
Phone (470) 240-0888

1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587

3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Interoperability endpoints

  • Direct secure messaging: priya.bayyapureddy@wmc.eclinicaldirectplus.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 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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1336184126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 WINDERMERE PKWY",
            "address_2": "SUITE# 105",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417002",
            "telephone_number": "678-455-2800",
            "fax_number": "770-888-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 WINDERMERE PKWY",
            "address_2": "SUITE# 105",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417002",
            "telephone_number": "678-455-2800",
            "fax_number": "770-888-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYYAPUREDDY",
        "first_name": "PRIYA",
        "middle_name": "VAMSI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376958020A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "priya.bayyapureddy@wmc.eclinicaldirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "3850 Windermere Pkwy",
            "address_2": "Suite# 105",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300417002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.