Active NPI
Santhi P Chennareddy, MD
- Internal Medicine Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 82141
- Practice address
- 1240 Jesse Jewell Pkwy SE Ste 500
Gainesville, GA 30501-3861 - Phone
- (770) 536-9864
- Fax
- (770) 297-5023
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01061425A | IN | |
| Internal Medicine Physician | 207R00000X | 82141 | GA | Primary |
Addresses
Primary practice location
1240 Jesse Jewell Pkwy SE Ste 500
Gainesville, GA 30501-3861
Mailing address
5300 State Road 64
Suite 101
Georgetown, IL 60686-0038
Phone (812) 949-5482
Other practice location 1
5300 State Road 64
Suite 101
Georgetown, IN 47122-9178
Phone (812) 923-4200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00306208 | Other | IN | RR MEDICARE |
| 000000387032 | Other | ANTHEM BCBS | |
| 200803790 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | santhichennareddy@negaidx.allscripts.net | Direct |
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, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Atlanta, GA 30342-1611
1001 Summit Blvd
Suite 1000
Brookhaven, GA 30319-6408
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.26 of 100
- Quality
- 71.9
- Promoting interoperability
- 75
- Improvement activities
- 40
- Cost
- 76.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01061425A | IN | MD | Family Medicine Physician |
| 82141 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Diagnostic Associates and Clinic, LLC | Current | Accepting new patients | |
| FMMG LLC | Family Medicine | Past | Accepting new patients |
Locations
1270 Friendship Rd
Ste 100
Braselton, GA 30517
Phone (470) 228-7900
1250 Jesse Jewell Pkwy SE
Ste 400
Gainesville, GA 30501
Phone (470) 228-7507
1240 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501
Interoperability endpoints
- santhichennareddy@negaidx.allscriptsdirect.net
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.
-
- Multi-Specialty Clinic/Center
- Gainesville, GA
- NPI 1144719311
-
- Family Medicine Physician
- New Albany, IN
- NPI 1184912370
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1568413060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 STATE ROAD 64",
"address_2": "SUITE 101",
"city": "GEORGETOWN",
"state": "IL",
"postal_code": "606860038",
"telephone_number": "812-949-5482",
"fax_number": "812-949-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 JESSE JEWELL PKWY SE STE 500",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013861",
"telephone_number": "770-536-9864",
"fax_number": "770-297-5023"
}
],
"practiceLocations": [
{
"address_1": "5300 State Road 64",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "IN",
"postal_code": "471229178",
"country_code": "US",
"telephone_number": "812-923-4200",
"fax_number": "812-923-4207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHENNAREDDY",
"first_name": "SANTHI",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01061425A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "82141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00306208",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000387032",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200803790",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "santhichennareddy@negaidx.allscripts.net",
"affiliation": "N",
"endpointDescription": "direct messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct edge",
"address_1": "1240 Jesse Jewell Pkwy SE Ste 500",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305013861",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.