NPIMap

Individual provider Active NPI

Sreekanth Reddy, MD

  • Medical Oncology Physician
  • Vidalia, GA
National Provider Identifier
1437199965
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
49476 Issued in GA
Practice address
1 Meadows Pkwy Ste B
Vidalia, GA 30474-8759
Phone
(912) 454-7012
Fax
(866) 871-8565
NPI assigned
Jun 6, 2006
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 049476 GA
Medical Oncology Physician 207RX0202X 49476 GA Primary

Addresses

Primary practice location

1 Meadows Pkwy Ste B
Vidalia, GA 30474-8759

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other practice location 1

6985 McGinnis Ferry Rd Ste 100
Johns Creek, GA 30097
Phone (678) 726-6203

Other identifiers 1

IdentifierTypeStateIssuer
012026407AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kreddy@atlantacancercare.direct.varian.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000571 GA Practitioner - Hematology/Oncology 3779613989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

1 Meadows Pkwy
Suite B
Vidalia, GA 30474-8759
Phone (912) 454-7012

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049476GAMDHematology & Oncology Physician
49476GAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services a LLC Hematology & Oncology CurrentSince Jan 1, 2013 Accepting new patients
American Oncology Partners, P.a. Medical Oncology CurrentSince Apr 9, 2024 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Nov 12, 2021 Accepting new patients
NSH Cancer Institute Professional Services a LLC CurrentSince Jan 1, 2013 Accepting new patients
American Oncology Partners PA Hematology & Oncology CurrentSince May 3, 2022 Accepting new patients
Atlanta Cancer Care Hematology & Oncology Past Accepting new patients
American Oncology Partners, P.a. Hematology & Oncology PastSince Aug 11, 2024 Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 400
Alpharetta, GA 30005
Phone (770) 667-7440

1111 Glynco Pkwy
Ste 35
Brunswick, GA 31525
Phone (912) 304-7013

1498 Klondike Rd SW
Ste 106
Conyers, GA 30094
Phone (770) 761-7260

1505 Northside Blvd
Ste 4600
Cumming, GA 30041
Phone (770) 205-5292

2675 N Decatur Rd
Ste 200
Decatur, GA 30033
Phone (404) 296-1256

6985 McGinnis Ferry Rd
#100
Johns Creek, GA 30097
Phone (678) 726-6203

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

1100 Johnson Fy Rd NE
Ste 510
Sandy Springs, GA 30342
Phone (404) 419-1165

5670 Peachtree Dunwoody Rd
Ste 1100
Sandy Springs, GA 30342
Phone (404) 851-2300

1 Meadows Pkwy
Ste B
Vidalia, GA 30474
Phone (912) 454-7012

1706 Alice St
Waycross, GA 31501
Phone (912) 283-6240

62742 Collections Ctr Dr
Chicago, IL 60693

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1437199965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEADOWS PKWY STE B",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748759",
            "telephone_number": "912-454-7012",
            "fax_number": "866-871-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6985 McGinnis Ferry Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "30097",
            "country_code": "US",
            "telephone_number": "678-726-6203",
            "fax_number": "678-647-7955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SREEKANTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "049476",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "GA",
            "license": "49476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012026407A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kreddy@atlantacancercare.direct.varian.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "5670 Peachtree Dunwoody Rd NE",
            "address_2": "Suite 1100",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303421704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.