Individual provider Active NPI

Prashanth Reddy Rawla, M.D.

  • Hospitalist Physician
  • Demorest, GA
National Provider Identifier
1942596077
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
95112 Issued in GA
Practice address
541 441 Historic Hwy N
Demorest, GA 30535-4528
Phone
(706) 839-4000
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-14659 IA
Internal Medicine Physician 207R00000X 0101257511 VA
Hospitalist Physician 208M00000X ME136128 FL
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 95112 GA Primary

Addresses

Primary practice location

541 441 Historic Hwy N
Demorest, GA 30535-4528

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

8117 Preston Rd
Suite 800
Dallas, TX 75225-6332
Phone (214) 666-9528

Other practice location 2

106 Broad St
Loganville, GA 30052-7463
Phone (470) 660-4132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210312000497 NC Practitioner - Internal Medicine 8729203914 Reassigns benefits to 1 organization
I20210708002958 FL Practitioner - HospitalistPractitioner - Internal Medicine 8729203914 Reassigns benefits to 1 organization
I20241023003627 GA Practitioner - Hospitalist 8729203914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdcare Clinic LLCGroup PAC ID 4688108012, 2 clinicians
Northeast Georgia Physicians Group IncGroup PAC ID 6901898386, 884 clinicians

Practice addresses (Care Compare)

106 Broad St
Loganville, GA 30052-7463
Phone (442) 333-7656

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

Hospital & facility affiliations

  • Northeast Georgia Medical Center Habersham Hospital, Demorest, GA, CCN 110041
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

Merit-based Incentive Payment System (MIPS)

Final score
91.26 of 100Reported as group
Quality
84.55
Improvement activities
40
Cost
75.5

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-14659IAMDInternal Medicine Physician
ME136128FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Internal Medicine Current Accepting new patients
Mdcare Clinic LLC CurrentSince Jul 1, 2024 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Moses Cone Physician Services Inc Hospitalist CurrentSince Mar 14, 2021 Accepting new patients
Apogee Medical Group, Florida Inc Hospitalist CurrentSince Jun 1, 2021 Accepting new patients
Northeast Georgia Medical Center Habersham LLC Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

106 Broad St
Loganville, GA 30052
Phone (442) 333-7656

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1942596077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 441 HISTORIC HWY N",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354528",
            "telephone_number": "706-839-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8117 Preston Rd",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752256332",
            "country_code": "US",
            "telephone_number": "214-666-9528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Broad St",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300527463",
            "country_code": "US",
            "telephone_number": "470-660-4132",
            "fax_number": "470-275-0412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWLA",
        "first_name": "PRASHANTH REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-14659",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101257511",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME136128",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "95112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demorest, GA

Sources for this page

Verify at the official NPI Registry.