Individual provider Active NPI

Samata Kamireddy, MD

  • Allergy & Immunology Physician
  • Atlanta, GA
National Provider Identifier
1932466430
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
82993 Issued in GA
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

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MD.207889LAMDInternal Medicine Physician
82993GAMDAllergy & Immunology (Internal Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.