Sumathi Puttu, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

88494 Issued in GA

Practice address

852 Dacula Rd
Dacula, GA 30019-3185

Phone

(770) 848-9380

NPI assigned

Jul 18, 2007

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, 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

Specialty

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Georgia Physicians Group Urgent Care LLCGroup PAC ID 3274535687, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

Merit-based Incentive Payment System (MIPS)

Final score

88.16 of 100Reported as group

Quality

85.71

Promoting interoperability

100

Improvement activities

40

Cost

74.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northeast Georgia Physicians Group Urgent Care LLC

  • Family Medicine Physician
  • Gainesville, GA
  • NPI 1790875037
  Medicare reassignment Care Compare group NPD
• Crimson Care LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1437668639
  Medicare reassignment NPD
• Crimson Urgent Care, LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1831205228
  Medicare reassignment NPD
• First Care LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1164767083
  Medicare reassignment NPD
• Pinnacle Physician Group, LLP

  • Hospitalist Physician
  • Tuscaloosa, AL
  • NPI 1609008176
  Medicare reassignment
• Summit Physician Group LLP

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1104343581
  Medicare reassignment
• Vaughan Regional Medical Center LLC

  dba Vaughan Regional Medical Center

  • Rural Acute Care Hospital
  • Selma, AL
  • NPI 1871655993
  NPD (past)

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

• Northeast Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, GA
  • NPI 1427055821
  Care Compare affiliation

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1649470717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305660018",
            "telephone_number": "770-219-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 DACULA RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193185",
            "telephone_number": "770-848-9380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 Veterans Memorial Pkwy",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354044791",
            "country_code": "US",
            "telephone_number": "205-553-1900",
            "fax_number": "205-553-4575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTTU",
        "first_name": "SUMATHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "30401",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "88494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets Inc (Publix Pharmacy #0803)
• Publix Super Markets Inc (Publix Pharmacy #0569)
• Publix Super Markets, Inc. (Publix Pharmacy #1893)
• Brian Alexander Pugh, DMD
• Pulmonary and Sleep Specialists of Piedmont Northeast
• Agnes Quarm
• David George Quintero, DMD, MS
• George Quintero, D.D.S., P.C.
• R. David Thomson, MD, LLC (Hamilton Mill Pediatrics)
• R&C Clinic, LLC

• Family Medicine Physician in Dacula, GA
• Providers in Dacula, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.

Verify at the official NPI Registry.