Ram G Penmetsa, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

76134 Issued in GA

Practice address

200 S Enota Dr NE Ste 100
Gainesville, GA 30501-3466

Phone

(770) 534-2020

NPI assigned

Jun 24, 2006

Last updated

Feb 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, GA, KY3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Georgia Heart Institute LLC

  • Cardiovascular Disease Physician
  • Gainesville, GA
  • NPI 1477976520
  Medicare reassignment NPD
• Arh Mary Breckinridge Health Services, Inc.

  dba ARH Cumberland Valley Medical and Surgical Associates - Corbin

  • Multi-Specialty Clinic/Center
  • Corbin, KY
  • NPI 1053983908
  Medicare reassignment NPD
• Arh Mary Breckinridge Health Services, Inc.

  dba ARH Our Lady of the Way

  • Critical Access Hospital
  • Martin, KY
  • NPI 1306339460
  Medicare reassignment NPD
• Greenville Health System

  dba GHS Patewood Memorial Hospital

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1568532513
  Medicare reassignment NPD
• Prisma Health University Medical Group

  dba Department of Radiology

  • Diagnostic Radiology Physician
  • Greenville, SC
  • NPI 1568799955
  Medicare reassignment NPD
• St Vincents Ambulatory Care Inc

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1417987124

  Cardiovascular Disease, GA

  Medicare reassignment NPD
• Northeast Georgia Heart Center

  • Cardiovascular Disease Physician
  • Gainesville, GA
  • NPI 1508812421
  NPD
• Arh Mary Breckinridge Health Services, Inc.

  dba ARH Primary Care Associates - NI

  • Rural Health Clinic/Center
  • Martin, KY
  • NPI 1629561733
  NPD
• Arh Mary Breckinridge Health Services, Inc.

  dba ARH Cumberland Valley Medical and Surgical Associates- Barbourville

  • Rural Health Clinic/Center
  • Barbourville, KY
  • NPI 1770029126
  NPD
• Arh Mary Breckinridge Health Services, Inc.

  dba Mary Breckinridge ARH Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Hyden, KY
  • NPI 1962040758
  NPD
• GHS Partners in Health, Inc.

  dba University Medical Group/Oconee

  • Family Medicine Physician
  • Seneca, SC
  • NPI 1891104295

  Cardiovascular Disease

  NPD
• Greenville Health System

  dba GHS Emergency Medicine-Oconee

  • Emergency Medicine Physician
  • Seneca, SC
  • NPI 1033580444
  NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1427084102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ENOTA DR NE STE 100",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013466",
            "telephone_number": "770-534-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2728 Sunset Blvd",
            "address_2": "suite 401",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694840",
            "country_code": "US",
            "telephone_number": "803-794-3950",
            "fax_number": "803-255-2715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "772 N Townville St",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296782645",
            "country_code": "US",
            "telephone_number": "864-886-9300",
            "fax_number": "864-886-9399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENMETSA",
        "first_name": "RAM",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "23142",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "76134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231421",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Cardiology Services LLC
• Norman Davis Peets III, D.D.S
• Jazmin Penado
• Derek Paul Pendarvis, MD
• Scarlet Pendarvis, BSN, RN
• Michael Graham Pennington, DMD
• Olivia Corinne Peralta, MD
• Aaron Maximo Perez, LCSW
• Anisha Perez, CD(DTI)
• Marla Mathews Perez, PT

• Cardiovascular Disease Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.