Individual provider Active NPI

Pranathi Kondapaneni, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Suwanee, GA
National Provider Identifier
1922022193
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
59447 Issued in GA
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

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210902000473 GA Practitioner - Sleep MedicinePractitioner - Neurology 8628117629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Neurology
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
Fusion Sleep LLCGroup PAC ID 1254346083, 10 clinicians

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

LicenseStateTypeSpecialty
4301077824MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Sleep LLC Sleep Medicine CurrentSince Aug 20, 2021 Accepting new patients
Rest Assured Sleep Disorders, Inc Past Accepting new patients
Esteban Linarez Sleep, LLC PastSince Aug 1, 2009 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.