Sudha Byreddy

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122815 Issued in GA

Practice address

3525 Busbee Dr NW
Kennesaw, GA 30144-5677

Phone

(404) 771-5345

NPI assigned

Jul 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evercreek Dental PC

  • General Practice Dentistry
  • Lawrenceville, GA
  • NPI 1487589727
  NPD Authorized official
• Honeycreek Dental

  • Dental Clinic/Center
  • Conyers, GA
  • NPI 1518706019
  NPD Authorized official

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1700512852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 BUSBEE DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445677",
            "telephone_number": "404-771-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 BUSBEE DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445677",
            "telephone_number": "404-771-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYREDDY",
        "first_name": "SUDHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON MEDICARE",
            "identifier": "NONE",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sudha-byreddy@ouhsc.edu",
            "affiliation": "N",
            "address_1": "1000 View Dr Unit 1207",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301895297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sudhabyreddy@greatexpressions.com",
            "affiliation": "N",
            "address_1": "1000 View Dr Unit 1207",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301895297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Moya P Butler, RN, NP
• Vanay R Butler, LPC
• Walter H Butler, MD
• Byram Healthcare Centers, Inc.
• Angel Dawn Byrd
• Astrid Pilar Cabrera, DC
• Andrea Cacace
• Adrian Caciur
• Christopher Joseph Cadle, MD
• Amanda H. Caldwell, OT

• General Practice Dentistry in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.