Swetha Addagatla
Individual provider Active NPI Family Medicine Physician · Alpharetta, GA
NPI 1376925503 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1376925503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 079924 (GA)
- Practice address
- 11379 Southbridge Pkwy Ste a
Alpharetta, GA 30022-4402 - Phone
- (770) 777-0750
- Fax
- (770) 777-0521
- NPI assigned
- Jun 24, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Metro Medical Associates LLC
Practice addresses (Care Compare)
11379 Southbridge Pkwy
Suite a
Alpharetta, GA 30022-4402
Phone (770) 770-0750
Hospital & facility affiliations
- Northside Hospital
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 |
|---|---|---|---|---|
| I20190916001088 | GA | Practitioner - Family Practice | 7012215312 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079924 | GA | MD | Family Medicine Physician |
| 79924 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Medical Associates LLC | Family Medicine | Current |
Accepting new patients |
| Metro Medical Associates of Decatur, LLC | Past |
Accepting new patients |
Locations
11379 Southbridge Pkwy
Ste A
Alpharetta, GA 30022
Phone (770) 770-0750
11379 Southbridge Pkwy
Alpharetta, GA 30022
Phone (770) 289-2305
2450 Atlanta Hwy
Ste 103
Cumming, GA 30040
Phone (770) 777-0750
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 79924 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | AL | ||
| Family Medicine Physician | 207Q00000X | 079924 | GA | Yes |
Addresses
Primary practice location
11379 Southbridge Pkwy Ste a
Alpharetta, GA 30022-4402
Mailing address
11379 Southbridge Pkwy Ste a
Alpharetta, GA 30022-4402
Phone (770) 777-0750
Other providers in Alpharetta, GA
- Korina Adams
- Savanna Estes Adams
- Suzanne Adams
- Zachary Alexis Adams
- Adaptive Therapy Counseling Group, LLC
- Jennifer Addis
- Abiodun Adebisi
- Julius Kolawole Adebisi
- Adesola Adebunmi
- John A Adegboye
All providers in Alpharetta, 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 Feb 2, 2024. 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.