Individual provider Active NPI

Vishwanath Reddy Chegireddy, M.D.

  • Plastic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1609288489
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
95902 Issued in GA
Practice address
1110 W Peachtree St NW
Atlanta, GA 30309-3609
Phone
(404) 793-3717
NPI assigned
May 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 95902 GA Primary

Addresses

Primary practice location

1110 W Peachtree St NW
Atlanta, GA 30309-3609

Mailing address

4551 Meadow Club Dr
Suwanee, GA 30024-7393
Phone (404) 547-6910

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231222000336 GA Practitioner - Plastic and Reconstructive Surgery 1557711157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Morehouse School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Atlanta, GA 30342
Phone (404) 446-0044

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy14
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC Single Specialty CurrentSince Mar 3, 2026 Accepting new patients
Chegireddy Plastic Surgery, LLC Single Specialty CurrentSince Nov 28, 2023 Accepting new patients

Locations

1110 W Peachtree St NW
Atlanta, GA 30309
Phone (404) 575-2050

1110 W Peachtree St NW
Ste 1050
Atlanta, GA 30309
Phone (332) 239-2595

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

4181 Hospital Dr NE
Ste 303
Covington, GA 30014
Phone (770) 787-6957

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1609288489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 MEADOW CLUB DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247393",
            "telephone_number": "404-547-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "404-793-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEGIREDDY",
        "first_name": "VISHWANATH",
        "middle_name": "REDDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "95902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.