Active NPI
Suneal Reddy Jannapureddy, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 64111
- Practice address
- 2701 N Decatur Rd
Decatur, GA 30033-5918 - Phone
- (404) 501-5256
- NPI assigned
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 64111 | GA | Primary |
Addresses
Primary practice location
2701 N Decatur Rd
Decatur, GA 30033-5918
Mailing address
PO Box 1457
Bluefield, WV 24701-1457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Texas a & M University System, HSC, College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000
Hospital & facility affiliations
- Piedmont Henry Hospital
- Northside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64111 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Pathology PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Diagnostic Pathology Associates PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
6100 Waterford District Dr
Ste 450
Miami, FL 33126
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
5700 Southwyck Blvd
Toledo, OH 43614
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Stockbridge, GA
- NPI 1588279772
-
- Anatomic Pathology & Clinical Pathology Physician
- Decatur, GA
- NPI 1376641290
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1780869768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1457",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247011457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335918",
"telephone_number": "404-501-5256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANNAPUREDDY",
"first_name": "SUNEAL",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "64111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.