Active NPI
Narasimhulu Neelagaru, M.D.
- Cardiovascular Disease Physician
- Commerce, GA
National Provider Identifier
1578697652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 031081
- Practice address
- 170 Cardiology PL
Commerce, GA 30529-1083 - Phone
- (706) 335-2000
- Fax
- (706) 335-9593
- NPI assigned
- Mar 14, 2007
- Last updated
- Jan 25, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 031081 | GA | Primary |
Addresses
Primary practice location
170 Cardiology PL
Commerce, GA 30529-1083
Mailing address
PO Box 359
Commerce, GA 30529-0007
Phone (706) 335-2000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10041326 | Other | GA | AMERIGROUP (MEDICAID) |
| 340262 | Other | GA | WELLCARE (MEDICAID) |
| 0239087 | Other | GA | BLUE CROSS BLUE SHIELD |
| 00381587A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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 Commerce Cardiology Clinic
- Cardiovascular Disease Physician
- Commerce, GA
- NPI 1790773232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1578697652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 359",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305290007",
"telephone_number": "706-335-2000",
"fax_number": "706-335-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 CARDIOLOGY PL",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305291083",
"telephone_number": "706-335-2000",
"fax_number": "706-335-9593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELAGARU",
"first_name": "NARASIMHULU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "031081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP (MEDICAID)",
"identifier": "10041326",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE (MEDICAID)",
"identifier": "340262",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0239087",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00381587A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Commerce, GA
- Medlink Georgia, Inc
- Medlink Georgia, Inc (MedLink Commerce Family Foot Clinic)
- Medlink Georgia, Inc (MedLink Pharmacy - Banks)
- Zachary Miller
- Dana Williams Moore
- Tia Smith Neely, MD
- North Georgia Cardiology PC (Commerce Cardiology Clinic)
- Northland Hearing Center Inc
- P Redmon Host Home
- Soyoung Parklee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.