Individual provider Active NPI

Ramarao Vullaganti, M D

  • Pediatrics Physician
  • Anniston, AL
National Provider Identifier
1396755674
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
00020384 Issued in AL
Practice address
1001 Leighton Ave
Anniston, AL 36207-5701
Phone
(256) 237-1618
Fax
(256) 237-2661
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 41024 GA
Pediatrics Physician 208000000X 00020384 AL Primary

Addresses

Primary practice location

1001 Leighton Ave
Anniston, AL 36207-5701

Mailing address

80 Spring Branch Rd
Suite F
Alexandria, AL 36250-7311
Phone (256) 241-9923

Other practice location 1

541 441 Historic Hwy N
Demorest, GA 30535-4528
Phone (770) 219-8420

Other identifiers 5

IdentifierTypeStateIssuer
009931866MedicaidAL
051528258OtherALBLUE CROSS BLUE SHIELD
1210953OtherALUNITED HEALTH CARE
202833406OtherALTRI CARE
202833406OtherALALL COMMERCIAL INSURANCES

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
I20260601002073 GA Practitioner - Pediatric Medicine 9335331610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box 1060 Attn Provider Enrollment
Oakwood, GA 30566-0018

PO Box 742616 Attn Mknight Provider Enrollment
Atlanta, GA 30374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00020384ALMDPediatrics Physician
41024GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Surgical & Medical Affiliates, LLC Past Accepting new patients
St. Mary's Sacred Heart Hospital, Inc. Past Accepting new patients
Jacksonville Medical Professional Services LLC Past Accepting new patients
Anniston Pediatrics Inc Past Accepting new patients
Anniston Pediatrics, Inc Pediatrics Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1396755674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SPRING BRANCH RD",
            "address_2": "SUITE F",
            "city": "ALEXANDRIA",
            "state": "AL",
            "postal_code": "362507311",
            "telephone_number": "256-241-9923",
            "fax_number": "256-241-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075701",
            "telephone_number": "256-237-1618",
            "fax_number": "256-237-2661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 441 Historic Hwy N",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354528",
            "country_code": "US",
            "telephone_number": "770-219-8420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VULLAGANTI",
        "first_name": "RAMARAO",
        "name_prefix": "Dr.",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "41024",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "00020384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009931866",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051528258",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1210953",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI CARE",
            "identifier": "202833406",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL COMMERCIAL INSURANCES",
            "identifier": "202833406",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.