Organization Active NPI

Aspire Medical Group LLC

  • Family Medicine Physician
  • Cumming, GA
National Provider Identifier
1801625769
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASPIRE MEDICAL GROUP LLC
Practice address
5820 Clarion St Ste 101
Cumming, GA 30040-0389
Phone
(770) 764-1234
Fax
(770) 215-1862
NPI assigned
Jul 30, 2024
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Nandini R SunkireddyNPI 1689991564
Title
Owner
Phone
(318) 953-2809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

5820 Clarion St Ste 101
Cumming, GA 30040-0389

Mailing address

5820 Clarion St Ste 101
Cumming, GA 30040-0389
Phone (770) 764-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241008000289 GA Part B Supplier - Clinic/Group Practice 9830620442 Receives reassigned benefits from 1 practitioner
Practice locations: Cumming, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2313219Aspire Medical Group5820 Clarion Street, Suite 101, Cumming, GA 30040Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Locations

5820 Clarion St
Ste 101
Cumming, GA 30040
Phone (770) 764-1234

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": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1801625769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 CLARION ST STE 101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400389",
            "telephone_number": "770-764-1234",
            "fax_number": "770-215-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 CLARION ST STE 101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400389",
            "telephone_number": "770-764-1234",
            "fax_number": "770-215-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "SUNKIREDDY",
        "authorized_official_first_name": "NANDINI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-953-2809"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.