Active NPI
Nandana R Reddy, M.D.
- Family Medicine Physician
- Cumming, GA
National Provider Identifier
1861647208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 055641
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 055641 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine and Urgent Care, P.C. | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Cumming, GA
- NPI 1023368693
-
- Vascular Surgery Physician
- Charlotte, NC
- NPI 1215973672
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.