Organization Active NPI

Sarira Wellness LLC

  • Surgery Physician
  • Marietta, GA
National Provider Identifier
1831084235
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SARIRA WELLNESS LLC
Practice address
60 Old Fuller Mill Rd NE
Marietta, GA 30067-4126
Phone
(256) 665-6214
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Vishwanath Raju DanthuluriNPI 1699118844
Title
Owner
Phone
(256) 665-6214

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
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

60 Old Fuller Mill Rd NE
Marietta, GA 30067-4126

Mailing address

60 Old Fuller Mill Rd NE
Marietta, GA 30067-4126
Phone (256) 665-6214

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250724002711 GA Part B Supplier - Clinic/Group Practice 9537676671 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

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": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1831084235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 OLD FULLER MILL RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674126",
            "telephone_number": "256-665-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 OLD FULLER MILL RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674126",
            "telephone_number": "256-665-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARIRA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "DANTHULURI",
        "authorized_official_first_name": "VISHWANATH",
        "authorized_official_middle_name": "RAJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-665-6214"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.