Active NPI
Svathi Reddy MD, L.L.C.
- Psychiatry Physician
- Marietta, GA
National Provider Identifier
1356679161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 056352
- Legal business name
- SVATHI REDDY MD, L.L.C.
- Practice address
- 1640 Powers Ferry Rd BLDG 17
Suite 100
Marietta, GA 30067-5491 - Phone
- (770) 426-9929
- Fax
- (770) 426-8293
- NPI assigned
- Dec 7, 2009
- 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
- Dr. Svathi Reddy, M.D.
- Title
- Owner
- Phone
- (770) 426-9929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 056352 | GA | Primary |
Addresses
Primary practice location
1640 Powers Ferry Rd BLDG 17
Suite 100
Marietta, GA 30067-5491
Mailing address
1640 Powers Ferry Rd BLDG 17
Suite 100
Marietta, GA 30067-5491
Phone (770) 426-9929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159480474A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Marietta, GA
- NPI 1528179124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311638400000",
"number": "1356679161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD BLDG 17",
"address_2": "SUITE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675491",
"telephone_number": "770-426-9929",
"fax_number": "770-426-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD BLDG 17",
"address_2": "SUITE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675491",
"telephone_number": "770-426-9929",
"fax_number": "770-426-8293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SVATHI REDDY MD, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-07",
"last_updated": "2011-07-26",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "SVATHI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-426-9929",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "056352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159480474A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.