Individual provider Active NPI

Supriya Hattangadi Kasi, M.D.

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1336582733
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
78008 Issued in GA
Practice address
2244 Henderson Mill Rd NE Ste 108
Atlanta, GA 30345-2740
Phone
(770) 239-2500
Fax
(404) 745-8202
NPI assigned
Apr 16, 2013
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 78008 GA Primary

Addresses

Primary practice location

2244 Henderson Mill Rd NE Ste 108
Atlanta, GA 30345-2740

Mailing address

2244 Henderson Mill Rd NE Ste 108
Atlanta, GA 30345-2740
Phone (770) 239-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78008GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonesboro Pediatrics Pediatrics Past Accepting new patients
Briarvista Pediatrics Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1336582733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 HENDERSON MILL RD NE STE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452740",
            "telephone_number": "770-239-2500",
            "fax_number": "404-745-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 HENDERSON MILL RD NE STE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452740",
            "telephone_number": "770-239-2500",
            "fax_number": "404-745-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASI",
        "first_name": "SUPRIYA",
        "middle_name": "HATTANGADI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "78008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.