Individual provider Active NPI

Lalitha Sivaswamy, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Macon, GA
National Provider Identifier
1427095082
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
103139 Issued in GA
Practice address
1014 Forsyth St Ste 360
Macon, GA 31201-2051
Phone
(248) 895-3518
NPI assigned
Jun 1, 2006
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 103139 GA Primary

Addresses

Primary practice location

1014 Forsyth St Ste 360
Macon, GA 31201-2051

Mailing address

1014 Forsyth St Ste 360
Macon, GA 31201-2051
Phone (248) 895-3518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051011000515 MI Practitioner - Pediatric MedicinePractitioner - Neurology 4284659079 Reassigns benefits to 1 organization
I20250220002623 GA Practitioner - Neurology 4284659079 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103139GAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians Pediatrics CurrentSince Sep 30, 2021 Accepting new patients
Health Services of Central Georgia, Inc Pediatrics CurrentSince Feb 1, 2025 Accepting new patients
University Pediatricians Pediatrics CurrentSince Sep 30, 2021 Accepting new patients
University Physician Group Pediatrics Past Accepting new patients

Locations

1014 Forsyth St
Ste 360
Macon, GA 31201
Phone (248) 895-3518

2490 Riverside Dr
Ste B
Macon, GA 31204
Phone (478) 633-6633

770 Pine St
Ste 580
Macon, GA 31201
Phone (478) 633-1821

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3901 Beaubien St
Fl 3
Detroit, MI 48201
Phone (313) 745-5906

3901 Beaubien St
Ste H
Detroit, MI 48201
Phone (313) 745-5437

Interoperability endpoints

  • Direct secure messaging: lsivaswa@direct.dmc.org
  • Direct secure messaging: lsivaswamy2954426@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1427095082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 FORSYTH ST STE 360",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012051",
            "telephone_number": "248-895-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 FORSYTH ST STE 360",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012051",
            "telephone_number": "248-895-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVASWAMY",
        "first_name": "LALITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "GA",
            "license": "103139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.