Umamaheswari Jonnalagadda, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042299 Issued in GA

Practice address

906 Bryan St W
Douglas, GA 31533-2330

Phone

(912) 383-9300

Fax

(912) 383-9292

NPI assigned

Aug 23, 2005

Last updated

Feb 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coffee County Hospitalist Physicians LLCGroup PAC ID 1153696117, 17 clinicians

Hazlehurst Family Clinic LLCGroup PAC ID 2769453059, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Waycross, GA, CCN 117076
• Coffee Regional Medical Center, Inc Hospital, Douglas, GA, CCN 110089

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Hazlehurst Family Clinic LLC

  • Family Medicine Physician
  • Douglas, GA
  • NPI 1578743985
  Medicare reassignment Care Compare group NPD Authorized official
• Coffee County Hospitalist Physicians, LLC

  • Independent Medical Examiner Physician
  • Douglas, GA
  • NPI 1811435464
  Medicare reassignment Care Compare group NPD
• 24 On Physicians, PC

  • Hospitalist Physician
  • Rome, GA
  • NPI 1912956251
  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• 24 On Physicians, P.C.

  • Hospitalist Physician
  • Attleboro, MA
  • NPI 1790104511
  NPD
• Coffee Regional Medical Center, Inc

  dba Coffee Regional Medical Center

  • General Acute Care Hospital
  • Douglas, GA
  • NPI 1760419527
  NPD (past)
• Nes Georgia, Inc.

  • Emergency Medicine Physician
  • Hazlehurst, GA
  • NPI 1144201559
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Georgia, L.L.C.

  dba Amedisys Home Health

  • Home Health Agency
  • Waycross, GA
  • NPI 1316120322
  Care Compare affiliation
• Coffee Regional Medical Center, Inc

  dba Coffee Regional Medical Center

  • General Acute Care Hospital
  • Douglas, GA
  • NPI 1760419527
  Care Compare affiliation

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1538152855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 BRYAN ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332330",
            "telephone_number": "912-383-9300",
            "fax_number": "912-383-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 BRYAN ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332330",
            "telephone_number": "912-383-9300",
            "fax_number": "912-383-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONNALAGADDA",
        "first_name": "UMAMAHESWARI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000741463F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "042299",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lajuanna Johnson
• Marci McQuaig Johnson, FNP-C
• Vernon Timothy Johnson, FNP
• Michelle Martinez Jones, FNP-C
• Sudhakar Jonnalagadda, MD
• Karly Joyce, FNP-C
• Kaczor Enterprises Inc (U. S. Ambulance EMS)
• Lacey Kersey, FNP-C
• Hadequa Noor Khan, MD
• Mubbashir Muzzammil Khan, MD

• Family Medicine Physician in Douglas, GA
• Providers in Douglas, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.

Verify at the official NPI Registry.