Individual provider Active NPI

Sasi K Nayudu, MD

  • Psychiatry Physician
  • Albany, GA
National Provider Identifier
1942284468
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
047932 Issued in GA
Practice address
1112 N Madison St
Albany, GA 31701-1910
Phone
(229) 436-2220
Fax
(877) 866-9293
NPI assigned
Nov 30, 2005
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 047932 GA Primary

Addresses

Primary practice location

1112 N Madison St
Albany, GA 31701-1910

Mailing address

1112 N Madison St
Albany, GA 31701-1910
Phone (229) 436-2220

Other identifiers 1

IdentifierTypeStateIssuer
000841915DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050421000137 GA Practitioner - PsychiatryPractitioner - Addiction MedicinePractitioner - Sleep Medicine 3870531767 Reassigns benefits to 1 organization
I20220422001190 MI Practitioner - Psychiatry 3870531767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Sleep Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1112 N Madison St
Albany, GA 31701-1910
Phone (229) 436-2220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
American Neuropsychiatry Associates LLC Psychiatry CurrentSince Jul 30, 2010 Accepting new patients
Copper Country Community Mental Health Services CurrentSince Apr 7, 2022 Accepting new patients
Copper Country Community Mental Health Services CurrentSince Apr 7, 2022 Accepting new patients
Pathways Center for Behavioral and Developmental Growth Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Pathways Center for Behavioral & Developmental Growth PastSince Nov 24, 2019 Accepting new patients
Roots Wellness Center, LLC Past Accepting new patients

Locations

1112 N Madison St
Albany, GA 31701
Phone (229) 432-6400

1945 Lakepointe Dr
Ste 100
Lewisville, TX 75057
Phone (855) 224-7315

Interoperability endpoints

  • Direct secure messaging: sasinayudu@tdh.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1942284468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 N MADISON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011910",
            "telephone_number": "229-436-2220",
            "fax_number": "877-866-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 N MADISON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011910",
            "telephone_number": "229-436-2220",
            "fax_number": "877-866-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYUDU",
        "first_name": "SASI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "047932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000841915D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.