Organization Active NPI

S Rao Cheti PC

  • Internal Medicine Physician
  • Stockbridge, GA
National Provider Identifier
1669498192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042211 Issued in GA
Legal business name
S RAO CHETI PC
Practice address
4778 N Henry Blvd Ste 202
Stockbridge, GA 30281-3566
Phone
(404) 474-8781
Fax
(404) 474-8670
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Satyanarayana Rao Cheti, M.D.NPI 1083644249
Title
Owner
Phone
(404) 474-8781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 042211 GA Primary

Addresses

Primary practice location

4778 N Henry Blvd Ste 202
Stockbridge, GA 30281-3566

Mailing address

4778 N Henry Blvd Ste 202
Stockbridge, GA 30281-3566
Phone (404) 474-8781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050622000507 GA Part B Supplier - Clinic/Group Practice 6103861067 Receives reassigned benefits from 3 practitioners
Practice locations: Stockbridge, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1019637S Rao Cheti MD PC4778 North Henry Boulevard, Suite 202, Stockbridge, GA 30281Certificate of waiverNov 23, 2027

National Provider Directory

National Provider Directory

Locations

4778 N Henry Blvd
Ste 202
Stockbridge, GA 30281
Phone (404) 474-8781

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669498192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4778 N HENRY BLVD STE 202",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813566",
            "telephone_number": "404-474-8781",
            "fax_number": "404-474-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4778 N HENRY BLVD STE 202",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813566",
            "telephone_number": "404-474-8781",
            "fax_number": "404-474-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S RAO CHETI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHETI",
        "authorized_official_first_name": "SATYANARAYANA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-474-8781",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.