Individual provider Active NPI

Subodh K Agrawal, MD

  • Cardiovascular Disease Physician
  • Athens, GA
National Provider Identifier
1366443640
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
028344 Issued in GA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 028344 GA
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 028344 GA Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000420 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507760840 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Emory University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Athens Heart Center, PCGroup PAC ID 0244134583, 3 clinicians
Medical Office ForceGroup PAC ID 9335481951, 58 clinicians

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

LicenseStateTypeSpecialty
028344GAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Heart Center, PC Multi-Specialty Current Accepting new patients
Athens Heart Center, PC Multi-Specialty CurrentSince Jul 1, 1997 Accepting new patients
Family First Healthcare Pain Management, LLC Multi-Specialty CurrentSince Aug 1, 2020 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.