Active NPI
Samata Kamireddy, MD
- Allergy & Immunology Physician
- Atlanta, GA
National Provider Identifier
1932466430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 82993
- Practice address
- 1605 Chantilly Dr NE
Atlanta, GA 30324-3267 - Phone
- (404) 778-3261
- NPI assigned
- Apr 20, 2012
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 0101262347 | VA | |
| Internal Medicine Physician | 207R00000X | MD.207889 | LA | |
| Internal Medicine Physician | 207R00000X | 82993 | GA | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 82993 | GA | |
| Allergy & Immunology Physician | 207K00000X | 82993 | GA | Primary |
Addresses
Primary practice location
1605 Chantilly Dr NE
Atlanta, GA 30324-3267
Mailing address
1605 Chantilly Dr NE
Atlanta, GA 30324-3267
Phone (404) 778-3261
Other practice location 1
1 Coca Cola Plz NW
Atlanta, GA 30313-2420
Phone (404) 676-5800
Other practice location 2
601 Elmwood Ave Box Med
Rochester, NY 14642-0001
Phone (585) 275-2874
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 |
|---|---|---|---|
| MD.207889 | LA | MD | Internal Medicine Physician |
| 82993 | GA | MD | Allergy & Immunology (Internal Medicine) Physician |
Interoperability endpoints
- skamireddy19801@direct.emory.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1932466430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 CHANTILLY DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243267",
"telephone_number": "404-778-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 CHANTILLY DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243267",
"telephone_number": "404-778-3261"
}
],
"practiceLocations": [
{
"address_1": "1 Coca Cola Plz NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303132420",
"country_code": "US",
"telephone_number": "404-676-5800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Elmwood Ave Box Med",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146420001",
"country_code": "US",
"telephone_number": "585-275-2874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMIREDDY",
"first_name": "SAMATA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "VA",
"license": "0101262347",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD.207889",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "82993",
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "GA",
"license": "82993",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "GA",
"license": "82993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.