Geetha Manchireddy M.D. P.C.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

050585 Issued in GA

Legal business name

GEETHA MANCHIREDDY M.D. P.C.

Practice address

150 Medical Blvd
Ste C
Stockbridge, GA 30281-5053

Phone

(678) 289-4901

Fax

(678) 289-4942

NPI assigned

Aug 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Ravi Reddy, CFO

Title

Corporate Financial Officer

Phone

(678) 289-4901

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1790034239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MEDICAL BLVD",
            "address_2": "STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815053",
            "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": "150 MEDICAL BLVD",
            "address_2": "STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815053",
            "telephone_number": "678-289-4901",
            "fax_number": "678-289-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEETHA MANCHIREDDY M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "CORPORATE FINANCIAL OFFICER",
        "authorized_official_telephone_number": "678-289-4901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "050585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000943533B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "05BDHXF",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gem Primary Healthcare, LLC.
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• Griffen Taylor Allan George, M.D.

• All providers in Stockbridge, GA
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.