Organization Active NPI

GS Reddy Inc

  • Internal Medicine Physician
  • Cumming, GA
National Provider Identifier
1821326547
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042590 Issued in GA
Legal business name
GS REDDY INC
Practice address
416 Pirkle Ferry Rd
Ste G100
Cumming, GA 30040-9202
Phone
(770) 205-5720
Fax
(770) 205-5841
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Suresh R Gudur, M.D., F.A.C.G.S.NPI 1235122920
Title
Ceo
Phone
(770) 205-5720

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 042590 GA Primary

Addresses

Primary practice location

416 Pirkle Ferry Rd
Ste G100
Cumming, GA 30040-9202

Mailing address

416 Pirkle Ferry Rd
Ste G100
Cumming, GA 30040-9202
Phone (770) 205-5720

Other names 1

  • Cumming Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091123000378 GA Part B Supplier - Clinic/Group Practice 3375682800 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
11D0968208Cumming Medical Center416 Pirkle Perry Road Suite H 400, Cumming, GA 30040Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

Locations

11810 Northfall Ln
Ste 1202
Alpharetta, GA 30009
Phone (770) 663-8761

416 Pirkle Ferry Rd
Ste G100
Cumming, GA 30040
Phone (770) 205-5720

416 Pirkle Ferry Rd
Ste H400
Cumming, GA 30040
Phone (770) 205-5720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1821326547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 PIRKLE FERRY RD",
            "address_2": "STE G100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409202",
            "telephone_number": "770-205-5720",
            "fax_number": "770-205-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 PIRKLE FERRY RD",
            "address_2": "STE G100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409202",
            "telephone_number": "770-205-5720",
            "fax_number": "770-205-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GS REDDY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "GUDUR",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-205-5720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.G.S."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumming Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 13, 2010; 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.