Organization Active NPI

M. Srinivasan MD PC

  • Cardiovascular Disease Physician
  • Decatur, GA
National Provider Identifier
1457373334
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
52836 Issued in GA
Legal business name
M. SRINIVASAN MD PC
Practice address
5255 Snapfinger Park Dr
Suite 130
Decatur, GA 30035-4084
Phone
(770) 322-8881
Fax
(770) 322-8886
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Dr. Muthayyah Srinivasan, MDNPI 1205835501
Title
Priniciple
Phone
(770) 322-8881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 52836 GA Primary

Addresses

Primary practice location

5255 Snapfinger Park Dr
Suite 130
Decatur, GA 30035-4084

Mailing address

5255 Snapfinger Park Dr
Suite 130
Decatur, GA 30035-4084
Phone (770) 322-8881

National Provider Directory

National Provider Directory

Locations

1359 Milstead Rd NE
Ste 101
Conyers, GA 30012
Phone (770) 322-8881

5255 Snapfinger Park Dr
Ste 130
Decatur, GA 30035
Phone (770) 322-7003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1457373334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 SNAPFINGER PARK DR",
            "address_2": "SUITE 130",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354084",
            "telephone_number": "770-322-8881",
            "fax_number": "770-322-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 SNAPFINGER PARK DR",
            "address_2": "SUITE 130",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354084",
            "telephone_number": "770-322-8881",
            "fax_number": "770-322-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. SRINIVASAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "SRINIVASAN",
        "authorized_official_first_name": "MUTHAYYAH",
        "authorized_official_title_or_position": "PRINICIPLE",
        "authorized_official_telephone_number": "770-322-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "52836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.