Active NPI
Ananth Thamarapu Srikrishnan, M.D
- General Practice Physician
- Atlanta, GA
National Provider Identifier
1386955235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 72134
- Practice address
- 720 Westview Dr SW
Atlanta, GA 30310-1458 - Phone
- (404) 352-4572
- NPI assigned
- Jun 25, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 72134 | GA | Primary |
Addresses
Primary practice location
720 Westview Dr SW
Atlanta, GA 30310-1458
Mailing address
530 Piedmont Ave NE
Atlanta, GA 30308-2438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72134 | GA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1386955235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 PIEDMONT AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WESTVIEW DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101458",
"telephone_number": "404-352-4572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRIKRISHNAN",
"first_name": "ANANTH",
"middle_name": "THAMARAPU",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "72134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.