Individual provider Active NPI

Lakshmi Satya Supriya Nagireddi, DO

  • Allergy & Immunology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1578040317
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
34.015583 Issued in OH
Practice address
1600 S Andrews Ave # Gme
Fort Lauderdale, FL 33316-2510
Phone
(954) 459-2091
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 34.015583 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X UO6296 FL
Allergy & Immunology Physician 207K00000X 105453 GA

Addresses

Primary practice location

1600 S Andrews Ave # Gme
Fort Lauderdale, FL 33316-2510

Mailing address

1114 Highgate Dr
Festus, MO 63028-4097
Phone (636) 236-3063

Other practice location 1

600 Professional Dr Ste 210
Lawrenceville, GA 30046-7650
Phone (770) 995-1537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241226000867 CA Practitioner - Allergy/Immunology 8224415484 Reassigns benefits to 1 organization
I20250821000617 GA Practitioner - Allergy/Immunology 8224415484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Allergy and Asthma Clinic PAGroup PAC ID 1254372006, 42 clinicians

Practice addresses (Care Compare)

1780 Presidential Circle
Suite 200
Snellville, GA 30078-5643
Phone (678) 280-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22788CAMDAddiction (Substance Use Disorder) Counselor
UO6296FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Telehealth Specialty Medical Group CurrentSince Oct 20, 2024 Accepting new patients
Atlanta Allergy & Asthma Clinic PA Allergy & Immunology CurrentSince Sep 1, 2025 Accepting new patients
The Metrohealth System Current Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients
Carolinas Physicians Network Inc Allergy & Immunology Past Accepting new patients

Locations (25 of 28)

9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

2045 Peachtree Rd NE
Ste 800
Atlanta, GA 30309
Phone (404) 351-5711

2300 Henderson Mill Rd NE
Ste 230
Atlanta, GA 30345
Phone (770) 491-9300

1620 Mulkey Rd
Ste 100
Austell, GA 30106
Phone (770) 948-3774

2500 Starling St
Ste 101
Brunswick, GA 31520
Phone (912) 354-6190

100 Old Ball Ground Hwy
Canton, GA 30114
Phone (770) 479-2195

100 Old Ball Ground Hwy
#B
Canton, GA 30114
Phone (770) 720-8000

2089 Teron Trce
Ste 250
Dacula, GA 30019
Phone (678) 801-4838

4645 Timber Ridge Dr
Ste 160
Douglasville, GA 30135
Phone (678) 434-0374

1240 Highway 54 W
Ste 310
Fayetteville, GA 30214
Phone (770) 461-6400

950 S Enota Dr NE
Ste A
Gainesville, GA 30501
Phone (678) 450-8969

114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144
Phone (770) 485-3723

600 Professional Dr
Ste 210
Lawrenceville, GA 30046
Phone (770) 963-8030

790 Church St NE
Ste 150
Marietta, GA 30060
Phone (770) 422-4268

1121 Johnson Ferry Rd
Ste 300
Marietta, GA 30068
Phone (770) 973-5252

14 Riverbend Dr SW
Rome, GA 30161
Phone (706) 234-0094

1357 Hembree Rd
Ste 200
Roswell, GA 30076
Phone (770) 475-0807

500 Northridge Rd
Ste 400
Sandy Springs, GA 30350
Phone (470) 508-5343

800 Mount Vernon Hwy NE
Ste 390
Sandy Springs, GA 30328
Phone (404) 252-4207

1780 Presidential Cir
#200
Snellville, GA 30078
Phone (678) 280-0202

1600 Medical Way
Ste 200
Snellville, GA 30078
Phone (770) 979-7466

119 Hill Pond Ln
Statesboro, GA 30458
Phone (912) 354-6190

830 Eagles Landing Pkwy
Ste 203
Stockbridge, GA 30281
Phone (478) 746-2888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJBFBA
  • Direct secure messaging: lnagireddi258598@direct.metrohealth.org

Organizations & group practices 5

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1578040317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 HIGHGATE DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284097",
            "telephone_number": "636-236-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVE # GME",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162510",
            "telephone_number": "954-459-2091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Professional Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467650",
            "country_code": "US",
            "telephone_number": "770-995-1537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGIREDDI",
        "first_name": "LAKSHMI SATYA",
        "middle_name": "SUPRIYA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "34.015583",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "UO6296",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "105453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.