Individual provider Active NPI

Virendra V Ranadive, MD

  • Neurology Physician
  • Fayetteville, GA
National Provider Identifier
1447211149
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
047510 Issued in GA
Practice address
115 Sumner Rd FL 2
Fayetteville, GA 30214-4758
Phone
(770) 716-1562
Fax
(770) 716-0145
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 047510 GA Primary

Addresses

Primary practice location

115 Sumner Rd FL 2
Fayetteville, GA 30214-4758

Mailing address

115 Sumner Rd FL 2
Fayetteville, GA 30214-4758
Phone (770) 716-1562

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
I20120402000143 GA Practitioner - Neurology 3072656305 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Southern Regional Physicians Management Group, LLCGroup PAC ID 9032491956, 27 clinicians
Neurology Associates, P.C.Group PAC ID 2860652690, 2 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Matrix Rehabilitation-Georgia IncGroup PAC ID 2567379498, shared by 4 NPIs, 40 clinicians

Practice addresses (Care Compare)

11 Upper Riverdale Rd SW
Women'S Center
Riverdale, GA 30274-2615
Phone (770) 991-8000

115 Sumner Rd
Fayetteville, GA 30214-4758
Phone (770) 716-1562

1669 Phoenix Pkwy
Suite 102
College Park, GA 30349-5462
Phone (770) 907-1023

335 Upper Riverdale Rd
Suite B10
Jonesboro, GA 30236-1071
Phone (770) 907-5743

9050 Peridot Pkwy
Suite E
Stockbridge, GA 30281-9417
Phone (770) 474-0540

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002

Merit-based Incentive Payment System (MIPS)

Final score
58.9 of 100Reported as group
Quality
20
Improvement activities
40
Cost
69.67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Georgia LLC CurrentSince Mar 17, 2013 Accepting new patients
Neurology Associates, P.C. CurrentSince Aug 20, 2001 Accepting new patients
Southern Regional Physicians Management Group, LLC CurrentSince Jul 31, 2025 Accepting new patients

Locations

1250 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 716-1562

115 Sumner Rd
Fayetteville, GA 30214
Phone (706) 407-4446

115 Sumner Rd
Fl 2
Fayetteville, GA 30214
Phone (678) 664-1545

1755 Highway 34 E
Newnan, GA 30265
Phone (770) 254-6040

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

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: vranadive@334.securemail.prognocis.com
  • Direct secure messaging: regionalhealthdiagnostics.virendraranadive@117073.advancedmd-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1447211149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUMNER RD FL 2",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144758",
            "telephone_number": "770-716-1562",
            "fax_number": "770-716-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SUMNER RD FL 2",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144758",
            "telephone_number": "770-716-1562",
            "fax_number": "770-716-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANADIVE",
        "first_name": "VIRENDRA",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "047510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.