Subodh K Agrawal, MD
Individual provider Active NPI Cardiovascular Disease Physician · Athens, GA
NPI 1366443640 · NPPES record last updated Mar 25, 2026
Key facts
- NPI
- 1366443640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 028344 (GA)
- Practice address
- 2005 Prince Ave
Athens, GA 30606-6032 - Phone
- (706) 208-9700
- Fax
- (706) 208-0806
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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
- Athens Heart Center, PC
Medical Office Force
Practice addresses (Care Compare)
2005 Prince Ave
Athens, GA 30606-6032
Phone (706) 208-9700
Hospital & facility affiliations
- Piedmont Athens Regional Medical Center
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 |
|---|---|---|---|---|
| I20050202000420 | GA | Practitioner - Cardiovascular Disease (Cardiology) |
6507760840 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028344 | GA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Healthcare Pain Management, LLC | Multi-Specialty | Current |
Accepting new patients |
| Athens Heart Center, PC | Multi-Specialty | Current |
Accepting new patients |
| Athens Heart Center, PC | Multi-Specialty | Current | Accepting new patients |
| St. Mary'S Hospital, Inc. | Multi-Specialty | Past | Accepting new patients |
Locations
2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632
1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100
1999 Prince Ave
Athens, GA 30606
Phone (706) 227-6002
1097 Lake Oconee Pkwy
Ste 201
Eatonton, GA 31024
Phone (762) 220-1818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician |
208VP0000X | 028344 | GA | |
| Cardiovascular Disease Physician |
207RC0000X | 028344 | GA | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00414554E | Medicaid | GA | |
| 060047315 | Other | GA | RR MEDICARE |
Other providers in Athens, GA
- Ag Anesthesia, LLC
- Maxlorenzo Agbayani
- Felipe Mario Luba Aggio
- Edmund Aggrey
- Agilitas Mobility Inc
- Nathaniel David Aguar
- Maryanne F Aguilar
- Mario A Aguinaga
- Stephen Agyemang-Koehler
- Fakhar Ahmad
All providers in Athens, GA · Cardiovascular Disease 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 Mar 25, 2026. 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.