Active NPI
Chelukala Bapu Reddy, M.D.
- Internal Medicine Physician
- Griffin, GA
National Provider Identifier
1467549840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 27431
- Practice address
- 610 S 8TH St
Suite C
Griffin, GA 30224-4201 - Phone
- (770) 228-9719
- Fax
- (770) 228-8244
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27431 | GA | Primary |
Addresses
Primary practice location
610 S 8TH St
Suite C
Griffin, GA 30224-4201
Mailing address
610 S 8TH St
Suite C
Griffin, GA 30224-4201
Phone (770) 228-9719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00325102A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
610 S 8TH St
Griffin, GA 30224-4201
Phone (770) 228-9719
Hospital & facility affiliations
- Enhabit Home Health
- Wellstar Spalding Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27431 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pruitthealth - Griffin, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Preferred Provider Organization
- Griffin, GA
- NPI 1437436094
-
- Skilled Nursing Facility
- Griffin, GA
- NPI 1447207964
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Columbus, GA
- NPI 1750369245
-
- General Acute Care Hospital
- Griffin, GA
- NPI 1972535318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386201600000",
"number": "1467549840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S 8TH ST",
"address_2": "SUITE C",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244201",
"telephone_number": "770-228-9719",
"fax_number": "770-228-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S 8TH ST",
"address_2": "SUITE C",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244201",
"telephone_number": "770-228-9719",
"fax_number": "770-228-8244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "CHELUKALA",
"middle_name": "BAPU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2013-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "27431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00325102A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
- Jennifer Yea Randall
- Katie E. Rangnow, NP
- Sarah Joy Rank, AU.D.
- Kusuma Rao, M.D.
- Sandra B Rawlings, MS, LPC
- Nicholas H Reese, M.A.
- Savannah Reeves, PHYSICAL THERAPIST
- Regenerative Orthopaedics and Spine Institute, LLC
- Region IV Department of Family and Children Services
- Regroup Healthcare Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.