Individual provider Active NPI

Sirisha L. Raju

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1508029067
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
68603 Issued in GA
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

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
68603GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.