Individual provider Active NPI

Akkaraju V.S. Sarma, M.D.,

  • Nephrology Physician
  • Douglas, GA
National Provider Identifier
1871579300
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
024487 Issued in GA
Practice address
1309 Ocilla Rd
Suite a
Douglas, GA 31533-2209
Phone
(912) 384-2252
Fax
(912) 384-8888
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 024487 GA Primary

Addresses

Primary practice location

1309 Ocilla Rd
Suite a
Douglas, GA 31533-2209

Mailing address

406 W 5TH St
Ocilla, GA 31774-1421
Phone (229) 468-9166

Other identifiers 4

IdentifierTypeStateIssuer
85001553GOtherGAGA BETTER HEALTH CARE
000257463JMedicaidGA
024487OtherGASTATE LICENSE NUMBER
00257463AMedicaidGA

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

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1871579300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W 5TH ST",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317741421",
            "telephone_number": "229-468-9166",
            "fax_number": "229-468-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 OCILLA RD",
            "address_2": "SUITE A",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332209",
            "telephone_number": "912-384-2252",
            "fax_number": "912-384-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARMA",
        "first_name": "AKKARAJU",
        "middle_name": "V.S.",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "024487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA BETTER HEALTH CARE",
            "identifier": "85001553G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000257463J",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "024487",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00257463A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.