Active NPI
Inoka Abeysiri Devapriya, MD
- General Practice Physician
- Gracewood, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 077723
- Practice address
- 100 Myrtle Blvd
103B
Gracewood, GA 30812 - Phone
- (706) 790-2011
- NPI assigned
- Apr 4, 2015
- Last updated
- Mar 17, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | MT208551 | PA | |
| General Practice Physician | 208D00000X | 077723 | GA | Primary |
Addresses
Primary practice location
100 Myrtle Blvd
103B
Gracewood, GA 30812
Mailing address
100 Myrtle Blvd
103B
Gracewood, GA 30812
Phone (706) 790-2011
Other practice location 1
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211
Other names 1
- Miss Inoka Abeysiri Samarasekara
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
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3715 Northside Pkwy NW
Building 2 100
Atlanta, GA 30327-2822
Phone (770) 938-1757
Merit-based Incentive Payment System (MIPS)
- Final score
- 20.57 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 68.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077723 | GA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Medical Consulting, P.C. | Current | Accepting new patients | |
| Skilled Facility Health Care Solutions Inc | Surgery | Current | Accepting new patients |
| Restored Health Inc. | Current | Accepting new patients | |
| Tri-Med Family Care, Inc | Current | Accepting new patients |
Locations
3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387
3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757
483 Indian Trl Lilburn Rd NW
Lilburn, GA 30047
Phone (770) 279-2427
483 Indian Trl Lilburn Rd NW
#R
Lilburn, GA 30047
Phone (770) 923-4433
6120 Alabama Hwy
Ringgold, GA 30736
Phone (706) 935-5444
2000 Riveredge Pkwy
Ste 885
Sandy Springs, GA 30328
Phone (404) 941-8981
1990 Lakeside Pkwy
Ste 170
Tucker, GA 30084
Phone (770) 938-1757
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Georgia Long Term Care and Consulting
- Family Medicine Physician
- Tucker, GA
- NPI 1073562922
-
- Family Medicine Physician
- Lilburn, GA
- NPI 1225242308
-
dba North Georgia Health Care Center
- Community/Retail Pharmacy
- Ringgold, GA
- NPI 1912144460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1629463864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MYRTLE BLVD",
"address_2": "103B",
"city": "GRACEWOOD",
"state": "GA",
"postal_code": "30812",
"telephone_number": "706-790-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MYRTLE BLVD",
"address_2": "103B",
"city": "GRACEWOOD",
"state": "GA",
"postal_code": "30812",
"telephone_number": "706-790-2011"
}
],
"practiceLocations": [
{
"address_1": "100 N Academy Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "PA",
"postal_code": "178229800",
"country_code": "US",
"telephone_number": "570-271-6211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVAPRIYA",
"first_name": "INOKA",
"middle_name": "ABEYSIRI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MT208551",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "077723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "INOKA",
"last_name": "SAMARASEKARA",
"middle_name": "ABEYSIRI",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gracewood, GA
- Kimberly Herrin Cole, D.M.D.
- Department of Behavioral Health and Developmental Disabilities (East Central Regional Hospital)
- Department of Behavioral Health and Developmental Disabilities (East Central Regional Hospital)
- Department of Behavioral Health and Developmental Disabilities (East Central Regional Hospital)
- East Central Regional Hospital
- Ga Department of Human Resources (ECRH Skilled Nursing Home No 9)
- Georgia Department of Human Resources (East Central Developmental System)
- John Robert Helman, DMD
- Ronald Alan Hyman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.