Devender Reddy, MD
Individual provider Active NPI Family Medicine Physician · Marietta, GA
NPI 1366415028 · NPPES record last updated Dec 8, 2011
Key facts
- NPI
- 1366415028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 038589 (GA)
- Practice address
- 1010 Johnson Ferry Rd
Marietta, GA 30068-2108 - Phone
- (770) 579-7900
- Fax
- (770) 579-7962
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
1010 Johnson Ferry Rd
Marietta, GA 30068-2108
Phone (770) 579-7900
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Hospital & facility affiliations
- Wellstar Home Health, LLC
- Accentcare Home Health of Georgia
- Central HH Care, an Amedisys Company
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
- Wellstar North Fulton Medical Center
- Piedmont Hospital, Inc
- Northside Hospital
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080429000617 | GA | Practitioner - Family Practice | 2163501354 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
1010 Johnson Ferry Rd
Marietta, GA 30068
Phone (770) 579-7900
1010 Johnson Ferry Rd
Ste 1
Marietta, GA 30068
Phone (770) 579-7900
Interoperability endpoints
- dreddy7683@directwellstar.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 038589 | GA | Yes |
Addresses
Primary practice location
1010 Johnson Ferry Rd
Marietta, GA 30068-2108
Mailing address
1010 Johnson Ferry Rd
Marietta, GA 30068-2108
Phone (770) 579-7900
Other providers in Marietta, GA
- Stephanie Marie Redd
- Jennifer Joyce Reddaway
- Adithya A Reddy
- Aditya Reddy
- Arati Reddy
- Svathi Mannapuram Reddy
- Rediclinic LLC
- Rediclinic LLC
- Rediclinic US, LLC
- Vicki H Reece
All providers in Marietta, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.