Active NPI
Pranathi Kondapaneni, M.D.
- Sleep Medicine (Psychiatry & Neurology) Physician
- Suwanee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- 59447
- Practice address
- 4245 Johns Creek Pkwy Ste a
Suwanee, GA 30024-9122 - Phone
- (678) 990-3962
- Fax
- (678) 840-3777
- NPI assigned
- Jul 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4301077824 | MI | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 59447 | GA | Primary |
Addresses
Primary practice location
4245 Johns Creek Pkwy Ste a
Suwanee, GA 30024-9122
Mailing address
100 Kimball PL Ste 100
Alpharetta, GA 30009-2614
Phone (678) 990-3962
Other practice location 1
2629 Riva Road, Suite 108
Rest Assured Sleep Centers, LLC
Annapolis, MD 21401
Phone (410) 897-8445
Other practice location 2
4265 Johns Creek Pkwy Ste A
Suwanee, GA 30024-6038
Phone (678) 990-3962
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- George Washington University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3650 Mansell Rd
Suite 100
Alpharetta, GA 30022-3068
Phone (678) 990-3962
4245 Johns Creek Pkwy
Suite a
Suwanee, GA 30024-9122
Phone (678) 990-3962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301077824 | MI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Sleep LLC | Sleep Medicine | Current | Accepting new patients |
| Rest Assured Sleep Disorders, Inc | Past | Accepting new patients | |
| Esteban Linarez Sleep, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
100 Kimball Pl
Ste 100
Alpharetta, GA 30009
Phone (855) 617-6691
3650 Mansell Rd
Ste 125
Alpharetta, GA 30022
Phone (678) 990-3962
3650 Mansell Rd
Ste 100
Alpharetta, GA 30022
Phone (678) 990-3962
6105 Peachtree Dunwoody Rd
Ste A205
Sandy Springs, GA 30328
Phone (678) 990-3962
5000 Research Ct
Ste 500
Suwanee, GA 30024
4265 Johns Creek Pkwy
#A
Suwanee, GA 30024
Phone (678) 990-3962
4245 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 990-3962
Interoperability endpoints
- pranathi.kondapaneni.1@32234.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Alpharetta, GA
- NPI 1245271113
Sleep Medicine
-
- Sleep Disorder Diagnostic Clinic/Center
- Alpharetta, GA
- NPI 1467699611
-
- Sleep Medicine (Internal Medicine) Physician
- Oak Park, IL
- NPI 1689800443
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Sleep Disorder Diagnostic Clinic/Center
- Landover, MD
- NPI 1205104882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1922022193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMBALL PL STE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300092614",
"telephone_number": "678-990-3962",
"fax_number": "678-840-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4245 JOHNS CREEK PKWY STE A",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300249122",
"telephone_number": "678-990-3962",
"fax_number": "678-840-3777"
}
],
"practiceLocations": [
{
"address_1": "2629 Riva Road, Suite 108",
"address_2": "Rest Assured Sleep Centers, LLC",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "21401",
"country_code": "US",
"telephone_number": "410-897-8445",
"fax_number": "866-429-2689",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4265 Johns Creek Pkwy Ste A",
"address_purpose": "LOCATION",
"city": "Suwanee",
"state": "GA",
"postal_code": "300246038",
"country_code": "US",
"telephone_number": "678-990-3962",
"fax_number": "678-840-3777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONDAPANENI",
"first_name": "PRANATHI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301077824",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "GA",
"license": "59447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.