Organization Active NPI

Amma Cardiovascular Centers of Georgia LLC

  • Cardiovascular Disease Physician
  • Lawrenceville, GA
National Provider Identifier
1770429417
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
AMMA CARDIOVASCULAR CENTERS OF GEORGIA LLC
Practice address
310 Philip Blvd Ste 102
Lawrenceville, GA 30046-8700
Phone
(678) 481-4812
Fax
(678) 783-6876
NPI assigned
Apr 27, 2026
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Dr. Sreenivasulu R. GangasaniNPI 1215923701
Title
President and Ceo
Phone
(678) 841-8412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

310 Philip Blvd Ste 102
Lawrenceville, GA 30046-8700

Mailing address

310 Philip Blvd Ste 102
Lawrenceville, GA 30046-8700
Phone (678) 841-8412

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1770429417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PHILIP BLVD STE 102",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468700",
            "telephone_number": "678-841-8412",
            "fax_number": "678-783-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PHILIP BLVD STE 102",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468700",
            "telephone_number": "678-481-4812",
            "fax_number": "678-783-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMA CARDIOVASCULAR CENTERS OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "GANGASANI",
        "authorized_official_first_name": "SREENIVASULU",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "678-841-8412",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.