Active NPI
GS Reddy Inc
- Internal Medicine Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 042590
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0968208 | Cumming Medical Center | Certificate of waiver | Dec 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Cumming, GA
- NPI 1235122920
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.