Reddy Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

REDDY URGENT CARE LLC

Doing business as

Broad St. Reddy Urgent Care

Practice address

283 E Broad St
Athens, GA 30601

Phone

(706) 621-7575

Fax

(706) 621-7557

NPI assigned

May 31, 2018

Last updated

Jan 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ram K Reddy, MD

Title

Ceo

Phone

(706) 621-7575

Specialties & licenses 1

Addresses

Other names 1

• Broad St. Reddy Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Reddy Urgent Care LLC

  dba Loganville Reddy Urgent Care

  • Urgent Care Clinic/Center
  • Loganville, GA
  • NPI 1841782331

  O20130508000573

  Same enrollment
• Reddy Urgent Care LLC

  dba East Side Reddy Urgent Care

  • Urgent Care Clinic/Center
  • Athens, GA
  • NPI 1851883342

  O20130508000573

  Same enrollment
• Reddy Urgent Care LLC

  dba Athens Reddy Urgent Care

  • Urgent Care Clinic/Center
  • Athens, GA
  • NPI 1922356179

  O20130508000573

  Same enrollment

Locations

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1649762121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 DOWDY RD STE 101",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065700",
            "telephone_number": "706-621-7575",
            "fax_number": "706-621-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 E BROAD ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30601",
            "telephone_number": "706-621-7575",
            "fax_number": "706-621-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "RAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-621-7575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broad St. Reddy Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wayne Ransom Reaves
• Srilakshmi Rebala, M.D.
• Reddy Health Innovations LLC (Broad Street Reddy Urgent Care)
• Reddy Medical Group LLC (Athens Reddy Medical Group)
• Reddy Urgent Care LLC
• Reddy Urgent Care LLC (East Side Reddy Urgent Care)
• Reddy Urgent Care LLC (Athens Reddy Urgent Care)
• Naga Priyatham Reddy-Mallu, MD
• Malini Kancharla Reddy, M.D.
• Sheena Reddy, DO

• Urgent Care Clinic/Center in Athens, GA
• Providers in Athens, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.