Individual provider Active NPI

Priya Sudhakar Deshpande, MD

  • Family Medicine Physician
  • Augusta, GA
National Provider Identifier
1720014871
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49002 Issued in GA
Practice address
3614D J Dewey Gray Cir Ste D
Augusta, GA 30909-1806
Phone
(706) 868-7380
Fax
(706) 868-7223
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 49002 GA Primary

Addresses

Primary practice location

3614D J Dewey Gray Cir Ste D
Augusta, GA 30909-1806

Mailing address

PO Box 2510
Evans, GA 30809-2510
Phone (706) 922-8251

Other identifiers 6

IdentifierTypeStateIssuer
49002OtherGAGA MEDICAL LICENSE
G49002MedicaidSC
10056076OtherGAAMERIGROUP
0875916AMedicaidGA
336957OtherGAWELLCARE
CH0654OtherGARR MEDICARE GROUP PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address priya.deshpande.1@26418.direct.athenahealth.com

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
I20100415000404 GA Practitioner - Family Practice 7416933437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Primary Care PCGroup PAC ID 4385633247, 57 clinicians

Practice addresses (Care Compare)

3614 J Dewey Gray Cir
Suite D
Augusta, GA 30909-6512
Phone (706) 868-7380

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49002GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Primary Care PC Family Medicine CurrentSince Sep 5, 2000 Accepting new patients
Au Medical Associates Inc Past Accepting new patients

Locations

3614 J Dewey Gray Cir
Ste D
Augusta, GA 30909
Phone (706) 868-7380

1701 Magnolia Way
Ste 101
Augusta, GA 30909
Phone (706) 922-6600

363 N Belair Rd
Evans, GA 30809
Phone (706) 650-7563

Interoperability endpoints

  • Direct secure messaging: priya.deshpande.1@26418.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1720014871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092510",
            "telephone_number": "706-922-8251",
            "fax_number": "706-650-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614D J DEWEY GRAY CIR STE D",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091806",
            "telephone_number": "706-868-7380",
            "fax_number": "706-868-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "PRIYA",
        "middle_name": "SUDHAKAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "49002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAL LICENSE",
            "identifier": "49002",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G49002",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10056076",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0875916A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "336957",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP PIN",
            "identifier": "CH0654",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "priya.deshpande.1@26418.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3614D J Dewey Gray Cir Ste D",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309091806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.