Active NPI
Sri Jegan Radhakrishnan, M.D
- Critical Care Medicine (Internal Medicine) Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 083660
- Practice address
- 743 Spring St NE
Gainesville, GA 30501-3715 - Phone
- (770) 219-9000
- NPI assigned
- Jan 27, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125050886 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 083660 | GA | Primary |
Addresses
Primary practice location
743 Spring St NE
Gainesville, GA 30501-3715
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
7456 Washington St Apt 504
Forest Park, IL 60130-1517
Phone (309) 472-1182
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sradhakrishnan100328@nghs.gadirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130905000965 | NC | Practitioner - Internal Medicine | 9335280585 | Reassigns benefits to 2 organizations |
| I20191028000002 | GA | Practitioner - Critical Care (Intensivists) | 9335280585 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Georgia Physicians Group Inc
Practice addresses (Care Compare)
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- Northeast Georgia Medical Center Habersham
- Union General Hospital
- Northeast Georgia Medical Center Lumpkin
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125050886 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of North Carolina, PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of North Carolina PLLC | Internal Medicine | Current | Accepting new patients |
| Northeast Georgia Medical Center, Inc. | Past | Accepting new patients |
Locations
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
950 S Enota Dr NE
Ste A
Gainesville, GA 30501
Phone (678) 450-8969
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- sradhakrishnan100328@nghs.gadirect.net
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
GA, Internal Medicine
-
- Internal Medicine Physician
- Rocky Mount, NC
- NPI 1548207483
Internal Medicine, NC
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1164724902
Internal Medicine, NC
-
- Land Ambulance
- Gainesville, GA
- NPI 1538103049
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Demorest, GA
- NPI 1740981430
Hospital
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1427296557",
"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": "743 SPRING ST NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-219-9000"
}
],
"practiceLocations": [
{
"address_1": "7456 Washington St Apt 504",
"address_purpose": "LOCATION",
"city": "Forest Park",
"state": "IL",
"postal_code": "601301517",
"country_code": "US",
"telephone_number": "309-472-1182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADHAKRISHNAN",
"first_name": "SRI JEGAN",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-27",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125050886",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "083660",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sradhakrishnan100328@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "743 Spring St NE",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305013715",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.