Individual provider Active NPI

Rohini Reddy, M.D.

  • Internal Medicine Physician
  • Woodstock, GA
National Provider Identifier
1801138052
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
76790 Issued in GA
Practice address
310 Gold Creek TRL Ste 200
Woodstock, GA 30188-5436
Phone
(770) 927-7857
Fax
(470) 410-7968
NPI assigned
Mar 25, 2013
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 76790 GA Primary
Hospitalist Physician 208M00000X 76790 GA

Addresses

Primary practice location

310 Gold Creek TRL Ste 200
Woodstock, GA 30188-5436

Mailing address

4300 N Point Pkwy
Alpharetta, GA 30022-4101
Phone (830) 320-1800

Other practice location 1

250 Parkbrooke Pl Ste 300
Woodstock, GA 30189-6401
Phone (770) 870-1780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ2 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
I20161018003047 GA Practitioner - Internal MedicinePractitioner - Hospitalist 1658677570 Reassigns benefits to 1 organization
I20191218002308 AZ Practitioner - HospitalistPractitioner - Internal Medicine 1658677570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

250 Parkbrooke PL
Suite 300
Woodstock, GA 30189-6401
Phone (770) 442-1911

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
64.97
Promoting interoperability
98
Improvement activities
40
Cost
69.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76790GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Feb 1, 2020 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Feb 23, 2026 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Feb 1, 2020 Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

250 Parkbrooke Pl
Ste 300
Woodstock, GA 30189
Phone (770) 870-1780

310 Gold Creek Trl
Woodstock, GA 30188
Phone (770) 771-5600

310 Gold Creek Trl
Ste 200
Woodstock, GA 30188
Phone (770) 771-5600

Interoperability endpoints

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

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

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1801138052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N POINT PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224101",
            "telephone_number": "830-320-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GOLD CREEK TRL STE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885436",
            "telephone_number": "770-927-7857",
            "fax_number": "470-410-7968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Parkbrooke Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301896401",
            "country_code": "US",
            "telephone_number": "770-870-1780",
            "fax_number": "770-928-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "ROHINI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "76790",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "76790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.