Sivarama K Meduri MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

020055 Issued in GA

Legal business name

SIVARAMA K MEDURI MD

Practice address

1020 Chattanooga Ave Ste Ab
Dalton, GA 30720-8880

Phone

(706) 226-1300

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sivarama Krishna Meduri, MDNPI 1508882945

Title

MD/Owner

Phone

(706) 226-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sivarama Krishna Meduri, MD

  • Pulmonary Disease Physician
  • Dalton, GA
  • NPI 1508882945
  Medicare reassignment NPD Authorized official
• Rajiv Verma, M.D.

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1609809813
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1952590952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CHATTANOOGA AVE STE AB",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208880",
            "telephone_number": "706-226-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CHATTANOOGA AVE STE AB",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208880",
            "telephone_number": "706-226-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVARAMA K MEDURI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "MEDURI",
        "authorized_official_first_name": "SIVARAMA",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "706-226-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "020055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harleen Singh, M.D.
• Kiranjit Singh, MD
• Anna Sisson
• Jerry Steve Sisson, RN
• Susan A Sitton, RN
• Skin Cancer & Cosmetic Dermatology Center, PC
• Emily Skipper, ATC
• Sleepmed, Inc
• Smile Center of Dalton LLC
• Ashley Smith

• Pulmonary Disease Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.