Individual provider Active NPI

Nandana R Reddy, M.D.

  • Family Medicine Physician
  • Cumming, GA
National Provider Identifier
1861647208
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
055641 Issued in GA
Practice address
2655 Hermitage Dr
Cumming, GA 30041-6337
Phone
(678) 666-4430
Fax
(678) 666-4422
NPI assigned
Nov 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 055641 GA Primary

Addresses

Primary practice location

2655 Hermitage Dr
Cumming, GA 30041-6337

Mailing address

2655 Hermitage Dr
Cumming, GA 30041-6337
Phone (678) 480-0861

Other names 1

  • Dr. Nandana Reddy Rallapalli Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055641GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine and Urgent Care, P.C. Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Vascular Solutions PC Past Accepting new patients

Locations

4415 Front Nine Dr
Ste 700
Cumming, GA 30041
Phone (614) 905-2700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1861647208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 HERMITAGE DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416337",
            "telephone_number": "678-480-0861",
            "fax_number": "770-781-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 HERMITAGE DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416337",
            "telephone_number": "678-666-4430",
            "fax_number": "678-666-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "NANDANA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANDANA",
            "last_name": "RALLAPALLI",
            "middle_name": "REDDY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.