NPIMap

Individual provider Active NPI

Srilakshmi Rebala, M.D.

  • Nephrology Physician
  • Athens, GA
National Provider Identifier
1730173733
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
051081 Issued in GA
Practice address
1500 Oglethorpe Ave
Suite 500C
Athens, GA 30606-2179
Phone
(706) 546-7484
Fax
(706) 546-7488
NPI assigned
Sep 6, 2005
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 051081 GA Primary

Addresses

Primary practice location

1500 Oglethorpe Ave
Suite 500C
Athens, GA 30606-2179

Mailing address

PO Box 7335
Athens, GA 30604-7335
Phone (706) 546-7484

Other identifiers 1

IdentifierTypeStateIssuer
261448399AMedicaidGA

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
I20040901000701 GA Practitioner - Nephrology 7810962859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Renal Associates, PCGroup PAC ID 9032277785, 5 clinicians

Practice addresses (Care Compare)

1500 Oglethorpe Ave
Suite 500C
Athens, GA 30606-2179

1500 Oglethorpe Ave
Suite 500C
Athens, GA 30606-2184
Phone (706) 546-7484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051081GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Primary Care LLC CurrentSince Aug 24, 2022 Accepting new patients
Georgia Renal Associates, PC Nephrology CurrentSince Sep 1, 2008 Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1270 Prince Ave
Ste 201
Athens, GA 30606
Phone (470) 271-3427

1500 Oglethorpe Ave
Ste 500C
Athens, GA 30606
Phone (706) 546-7484

2151 W Spring St
Ste B200
Monroe, GA 30655
Phone (770) 267-0724

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJCADA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1730173733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7335",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306047335",
            "telephone_number": "706-546-7484",
            "fax_number": "706-546-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 500C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "706-546-7484",
            "fax_number": "706-546-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBALA",
        "first_name": "SRILAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "051081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261448399A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.