Individual provider Active NPI

Sravan Dhulipala, M.D.

  • Orthopaedic Surgery Physician
  • McDonough, GA
National Provider Identifier
1891135018
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
83582 Issued in GA
Practice address
105 Regency Park Dr
McDonough, GA 30253-6649
Phone
(770) 506-4119
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 6333 GA
Orthopaedic Surgery Physician 207X00000X 83582 GA Primary

Addresses

Primary practice location

105 Regency Park Dr
McDonough, GA 30253-6649

Mailing address

105 Regency Park Dr
McDonough, GA 30253-6649
Phone (770) 506-4119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805002585 GA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 2466689955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Vanderbilt University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resurgens, LLCGroup PAC ID 1153224142, 184 clinicians

Practice addresses (Care Compare)

1336 Hwy 54 W
BLDG 400 Suite C
Fayetteville, GA 30214-4574
Phone (770) 461-6142

1585 N Expressway
Griffin, GA 30223-1746
Phone (770) 227-7050

3885 Princeton Lakes Way SW
Suite 310
Atlanta, GA 30331-7100
Phone (470) 773-6710

5671 Peachtree Dunwoody Rd
Suite 900
Atlanta, GA 30342-5022

5671 Peachtree Dunwoody Rd NE
Suite 900 950
Atlanta, GA 30342-5022
Phone (404) 847-9999

758 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-3385
Phone (770) 962-4300

Hospital & facility affiliations

  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006333GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgens, LLC Orthopaedic Surgery CurrentSince Aug 1, 2019 Accepting new patients
Resurgens, LLC Orthopaedic Surgery CurrentSince Aug 1, 2019 Accepting new patients
Resurgens Fayette Surgery Center, LLC PastSince Mar 1, 2022 Accepting new patients

Locations

3885 Princeton Lakes Way SW
Ste 310
Atlanta, GA 30331
Phone (404) 346-9233

1336 Highway 54 W
Bldg 400
Fayetteville, GA 30214
Phone (770) 461-1238

1585 N Expressway
Griffin, GA 30223
Phone (770) 227-7050

156 Foster Dr
Ste B
McDonough, GA 30253
Phone (770) 506-4119

105 Regency Park Dr
McDonough, GA 30253
Phone (770) 305-7555

5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590

5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732

Interoperability endpoints

  • Direct secure messaging: sravan.dhulipala.p47@direct.tenet.nextgenshare.com
  • Direct secure messaging: sravan.dhulipala.p48@direct.tenet.nextgenshare.com
  • Direct secure messaging: sravan.dhulipala.1@15749.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1891135018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 REGENCY PARK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536649",
            "telephone_number": "770-506-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 REGENCY PARK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536649",
            "telephone_number": "770-506-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHULIPALA",
        "first_name": "SRAVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "6333",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "83582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.