Active NPI
Sirisha L. Raju
- Obstetrics & Gynecology Physician
- Atlanta, GA
National Provider Identifier
1508029067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 68603
- Practice address
- 4360 Chamblee Dunwoody Rd Ste 370
Atlanta, GA 30341-1081 - Phone
- (770) 399-5055
- Fax
- (770) 399-9638
- NPI assigned
- Jul 4, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 68603 | GA | Primary |
Addresses
Primary practice location
4360 Chamblee Dunwoody Rd Ste 370
Atlanta, GA 30341-1081
Mailing address
5801 Postal Rd
Cleveland, OH 44181-2184
Phone (561) 300-2410
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130607000411 | GA | Practitioner - Obstetrics/Gynecology | 2264670900 | Practice locations: Stockbridge, GA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68603 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagles Landing OB GYN Associates, PC | Multi-Specialty | Current | Accepting new patients |
| Unified Women'S Care of Georgia, LLC | Multi-Specialty | Past | Accepting new patients |
| Womencare PA | Multi-Specialty | Past | Accepting new patients |
Locations
3333 Jodeco Rd
Ste D
McDonough, GA 30253
Phone (770) 474-1919
350 Country Club Dr
Ste D
Stockbridge, GA 30281
Phone (678) 289-7700
Interoperability endpoints
- sirisha.raju.1@5518.direct.athenahealth.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.
-
- Obstetrics & Gynecology Physician
- McDonough, GA
- NPI 1649225517
Multi-Specialty
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1578812012
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1508029067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 POSTAL RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441812184",
"telephone_number": "561-300-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 CHAMBLEE DUNWOODY RD STE 370",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411081",
"telephone_number": "770-399-5055",
"fax_number": "770-399-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJU",
"first_name": "SIRISHA",
"middle_name": "L.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-04",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "68603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.