Active NPI
Murali Mohan Yelugapuri, M.D.
- Pediatrics Physician
- Blakely, GA
National Provider Identifier
1518156033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 61380
- Practice address
- 360 College St
Blakely, GA 39823-2554 - Phone
- (229) 723-2660
- Fax
- (229) 723-2663
- NPI assigned
- Oct 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301090622 | MI | |
| Pediatrics Physician | 208000000X | 61380 | GA | Primary |
Addresses
Primary practice location
360 College St
Blakely, GA 39823-2554
Mailing address
360 College St
Blakely, GA 39823-2554
Phone (229) 723-2660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61380 | GA | MD | Pediatrics Physician |
| 4301090622 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Interoperability endpoints
- murali.yelugapuri@pcsg.eclinicaldirectplus.com
- murali.yelagapuri@pcswga.gadirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1518156033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 COLLEGE ST",
"city": "BLAKELY",
"state": "GA",
"postal_code": "398232554",
"telephone_number": "229-723-2660",
"fax_number": "229-723-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 COLLEGE ST",
"city": "BLAKELY",
"state": "GA",
"postal_code": "398232554",
"telephone_number": "229-723-2660",
"fax_number": "229-723-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YELUGAPURI",
"first_name": "MURALI",
"middle_name": "MOHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-21",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301090622",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "61380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blakely, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.