Individual provider Active NPI

Neermala Dassrath-Bheodari, M.B.B.S.

  • Student in an Organized Health Care Education/Training Program
  • Griffin, GA
National Provider Identifier
1376346924
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
747 S 8TH St Ste B
Griffin, GA 30224-4884
Phone
(470) 604-8250
Fax
(770) 999-2814
NPI assigned
Mar 29, 2025
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

747 S 8TH St Ste B
Griffin, GA 30224-4884

Mailing address

747 S 8TH St Ste B
Griffin, GA 30224-4884
Phone (470) 604-8250

Other practice location 1

350 Hospital Dr Ste 430
Macon, GA 31217-3838
Phone (478) 751-0463

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
I20250829001752 GA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3577064633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17470GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Pulmonary Associates, LLC PastSince Mar 30, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAGGAA

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1376346924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 S 8TH ST STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244884",
            "telephone_number": "470-604-8250",
            "fax_number": "770-999-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 S 8TH ST STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244884",
            "telephone_number": "470-604-8250",
            "fax_number": "770-999-2814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Hospital Dr Ste 430",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312173838",
            "country_code": "US",
            "telephone_number": "478-751-0463",
            "fax_number": "478-751-0442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASSRATH-BHEODARI",
        "first_name": "NEERMALA",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-29",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.