Active NPI
Subodh K Agrawal, MD
- Cardiovascular Disease Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 028344
- Practice address
- 2005 Prince Ave
Athens, GA 30606-6032 - Phone
- (706) 208-9700
- Fax
- (706) 208-0806
- NPI assigned
- Aug 9, 2005
- Last updated
- Mar 25, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 028344 | GA | |
| Cardiovascular Disease Physician | 207RC0000X | 028344 | GA | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 028344 | GA |
Addresses
Primary practice location
2005 Prince Ave
Athens, GA 30606-6032
Mailing address
2005 Prince Ave
Athens, GA 30606-6032
Phone (706) 208-9700
Other practice location 1
1999 Prince Ave
Athens, GA 30606-6013
Phone (706) 208-9700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Emory University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2005 Prince Ave
Athens, GA 30606-6032
Phone (706) 208-9700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028344 | GA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Heart Center, PC | Multi-Specialty | Current | Accepting new patients |
| Athens Heart Center, PC | Multi-Specialty | Current | Accepting new patients |
| Family First Healthcare Pain Management, LLC | Multi-Specialty | Current | Accepting new patients |
| St. Mary's Hospital, Inc. | Multi-Specialty | Past | Accepting new patients |
Locations
1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100
1999 Prince Ave
Athens, GA 30606
Phone (706) 227-6002
2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632
1097 Lake Oconee Pkwy
Ste 201
Eatonton, GA 31024
Phone (844) 641-0036
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Athens, GA
- NPI 1508378613
-
- Pain Medicine Physician
- Athens, GA
- NPI 1851857312
Multi-Specialty
-
dba AHC Specialty Clinics
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1164926739
Multi-Specialty
-
- Sleep Medicine (Internal Medicine) Physician
- Athens, GA
- NPI 1689977761
-
- Health Service Clinic/Center
- Athens, GA
- NPI 1952860496
-
dba St. Mary's Hospital
- General Acute Care Hospital
- Athens, GA
- NPI 1871556621
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1366443640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066032",
"telephone_number": "706-208-9700",
"fax_number": "706-208-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066032",
"telephone_number": "706-208-9700",
"fax_number": "706-208-0806"
}
],
"practiceLocations": [
{
"address_1": "1999 Prince Ave",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306066013",
"country_code": "US",
"telephone_number": "706-208-9700",
"fax_number": "706-208-0878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGRAWAL",
"first_name": "SUBODH",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "028344",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "028344",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "GA",
"license": "028344",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.