NPIMap

Individual provider Active NPI

Sowmya Brahmadevi, MD

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1700827458
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
073444 Issued in GA
Practice address
2612 Holcomb Bridge Rd Ste 100
Alpharetta, GA 30022-5494
Phone
(770) 650-8980
Fax
(770) 650-5589
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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 073444 GA Primary

Addresses

Primary practice location

2612 Holcomb Bridge Rd Ste 100
Alpharetta, GA 30022-5494

Mailing address

1058 Bear Creek Blvd
Hampton, GA 30228-1849
Phone (770) 707-0808

Other practice location 1

1058 Bear Creek Blvd
Hampton, GA 30228-1849
Phone (770) 707-0808

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbrahmadevi176188@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721000562 GA Practitioner - Family Practice 0941280721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

2612 Holcomb Bridge Rd
Suite 100
Alpharetta, GA 30022-5494
Phone (770) 650-8980

Hospital & facility affiliations

  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
073444GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Sep 9, 2018 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Wellstar Medical Group, LLC Family Medicine CurrentSince Sep 9, 2018 Accepting new patients
Healogics Specialty Physicians of Georgia, LLC CurrentSince May 17, 2015 Accepting new patients
Healogics Specialty Physicians of Georgia, LLC CurrentSince May 17, 2015 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Baptist Memorial Medical Group Inc Family Medicine Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Baptist Memorial Medical Group Inc Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients

Locations

2570 Holcomb Bridge Rd
Ste 110
Alpharetta, GA 30022
Phone (770) 650-8980

2612 Holcomb Bridge Rd
Ste 100
Alpharetta, GA 30022
Phone (770) 650-8980

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

705 Breedlove Dr
Ste 300
Monroe, GA 30655
Phone (678) 635-7221

Interoperability endpoints

  • Direct secure messaging: sbrahmadevi176188@directwellstar.org

Organizations & group practices 10

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.

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1700827458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 BEAR CREEK BLVD",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281849",
            "telephone_number": "770-707-0808",
            "fax_number": "770-707-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 HOLCOMB BRIDGE RD STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225494",
            "telephone_number": "770-650-8980",
            "fax_number": "770-650-5589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1058 Bear Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "GA",
            "postal_code": "302281849",
            "country_code": "US",
            "telephone_number": "770-707-0808",
            "fax_number": "770-707-1580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAHMADEVI",
        "first_name": "SOWMYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "073444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbrahmadevi176188@directwellstar.org",
            "affiliation": "N",
            "address_1": "2612 Holcomb Bridge Rd Ste 100",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300225494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.