Organization Active NPI

Sunshine Pediatrics of Georgia,LLC

  • Pediatrics Physician
  • Cumming, GA
National Provider Identifier
1578934501
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
064911 Issued in GA
Legal business name
SUNSHINE PEDIATRICS OF GEORGIA,LLC
Practice address
1485 Peachtree Pkwy
Suite D1
Cumming, GA 30041-0500
Phone
(470) 239-5437
NPI assigned
Oct 16, 2015
Last updated
Oct 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Dr. Anandamadhuri Venkata Chunduri
Title
Member
Phone
(470) 239-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 064911 GA Primary

Addresses

Primary practice location

1485 Peachtree Pkwy
Suite D1
Cumming, GA 30041-0500

Mailing address

1485 Peachtree Pkwy
Suite D1
Cumming, GA 30041-0500
Phone (470) 239-5437

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1578934501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 PEACHTREE PKWY",
            "address_2": "SUITE D1",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300410500",
            "telephone_number": "470-239-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 PEACHTREE PKWY",
            "address_2": "SUITE D1",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300410500",
            "telephone_number": "470-239-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRICS OF GEORGIA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "CHUNDURI",
        "authorized_official_first_name": "ANANDAMADHURI",
        "authorized_official_middle_name": "VENKATA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "470-239-5437",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "064911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.