Individual provider Active NPI

Geetha Manchireddy, MD

  • Pain Medicine (Anesthesiology) Physician
  • Atlanta, GA
National Provider Identifier
1730157488
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
50585 Issued in GA
Practice address
2950 Stone Hogan Connector Rd SW
Building a Suite B
Atlanta, GA 30331-2837
Phone
(678) 289-4901
Fax
(678) 289-4942
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 50585 GA Primary

Addresses

Primary practice location

2950 Stone Hogan Connector Rd SW
Building a Suite B
Atlanta, GA 30331-2837

Mailing address

2950 Stone Hogan Connector Rd SW
Building a Suite B
Atlanta, GA 30331-2837
Phone (678) 289-4901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100129000478 GA Practitioner - Anesthesiology 0143292219
I20241008000294 GA Practitioner - Pain Management 0143292219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2950 Stone Hogan Connector Rd SW
BLDG a
Atlanta, GA 30331-2837
Phone (404) 781-2800

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50585GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants of Georgia, LLC CurrentSince Feb 24, 2014 Accepting new patients
Pain and Spine Solutions, LLC Past Accepting new patients
Advance Pain Management LLC. Past Accepting new patients
Georgia Pain and Spine Solutions, PC Pain Medicine Past Accepting new patients

Locations

5303 Adams St NE
Ste D
Covington, GA 30014
Phone (770) 786-7971

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1730157488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 STONE HOGAN CONNECTOR RD SW",
            "address_2": "BUILDING A SUITE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312837",
            "telephone_number": "678-289-4901",
            "fax_number": "678-289-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 STONE HOGAN CONNECTOR RD SW",
            "address_2": "BUILDING A SUITE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312837",
            "telephone_number": "678-289-4901",
            "fax_number": "678-289-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHIREDDY",
        "first_name": "GEETHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "50585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.