Individual provider Active NPI

Madhavi Devaraju, M.D.

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1699969949
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
058737 Issued in GA
Practice address
2700 Abbey CT
The Offices @ Crabapple Village
Alpharetta, GA 30004-6024
Phone
(770) 772-4233
Fax
(770) 772-4872
NPI assigned
Aug 29, 2007
Last updated
Jul 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 058737 GA Primary

Addresses

Primary practice location

2700 Abbey CT
The Offices @ Crabapple Village
Alpharetta, GA 30004-6024

Mailing address

2700 Abbey CT
The Offices @ Crabapple Village
Alpharetta, GA 30004-6024
Phone (770) 772-4233

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
I20080414000520 GA Practitioner - Family Practice 6901983063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2700 Abbey CT
Alpharetta, GA 30004-6024
Phone (770) 772-4233

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
058737GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince Dec 1, 2012 Accepting new patients
Crabapple Family Medicine Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Northside Primary Care Professional Services,LLC Family Medicine CurrentSince Dec 1, 2012 Accepting new patients
Cumming Family Medicine Inc Family Medicine Past Accepting new patients
Rolf W Meinhold MD PC Family Medicine PastSince Aug 1, 2013 Accepting new patients

Locations

2700 Abbey Ct
Alpharetta, GA 30004
Phone (770) 772-4233

2700 Abbey Ct
Ofc
Alpharetta, GA 30004
Phone (770) 772-4233

2700 Abbey Ct
Ste A
Alpharetta, GA 30004

765 Lanier 400 Pkwy
Cumming, GA 30040
Phone (770) 205-1294

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1792/brand/2/csg/21/fhir/r4
  • Direct secure messaging: madhavi.devaraju.1@1792.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1699969949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 ABBEY CT",
            "address_2": "THE OFFICES @ CRABAPPLE VILLAGE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046024",
            "telephone_number": "770-772-4233",
            "fax_number": "770-772-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ABBEY CT",
            "address_2": "THE OFFICES @ CRABAPPLE VILLAGE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046024",
            "telephone_number": "770-772-4233",
            "fax_number": "770-772-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARAJU",
        "first_name": "MADHAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "058737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.