NPIMap

Individual provider Active NPI

Vamsi Krishna Kancherla, MD

  • Orthopaedic Surgery Physician
  • Gainesville, GA
National Provider Identifier
1962799247
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
078140 Issued in GA
Practice address
1240 Jesse Jewell Pkwy SE Ste 300
Gainesville, GA 30501-3861
Phone
(770) 534-7200
NPI assigned
Jul 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 078140 GA Primary

Addresses

Primary practice location

1240 Jesse Jewell Pkwy SE Ste 300
Gainesville, GA 30501-3861

Mailing address

1240 Jesse Jewell Pkwy SE Ste 300
Gainesville, GA 30501-3861
Phone (770) 534-7200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vkancherla@specialtyorthoga.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170918002101 GA Practitioner - Orthopedic Surgery 7911294434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Perelman School of Med at the University of Pennsylvania, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Orthopaedics PCGroup PAC ID 6305805615, 19 clinicians

Practice addresses (Care Compare)

1240 Jesse Jewell Pkwy SE
Suite 300
Gainesville, GA 30501-3861
Phone (770) 534-7200

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Spinal fusion358
Laminectomy or laminotomy (partial removal of spine bones)123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Specialty Orthopaedics, PC Orthopaedic Surgery CurrentSince Jun 15, 2021 Accepting new patients
Specialty Orthopaedics, PC Orthopaedic Surgery CurrentSince Jun 15, 2021 Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

1229 Friendship Rd
#100
Braselton, GA 30517
Phone (770) 532-7202

81 Prominence Ct
#100
Dawsonville, GA 30534
Phone (770) 532-7202

2320 Peachtree Industrial Blvd
Ste 103
Duluth, GA 30097
Phone (770) 532-7202

1240 Jesse Jewell Pkwy SE
Ste 300
Gainesville, GA 30501
Phone (770) 532-7202

Interoperability endpoints

  • Direct secure messaging: vkancherla128199@direct.metrohealth.org
  • Direct secure messaging: vamsikancherla@scsipc.allscriptsdirect.net

Organizations & group practices 5

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 6

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1962799247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 JESSE JEWELL PKWY SE STE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013861",
            "telephone_number": "770-534-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 JESSE JEWELL PKWY SE STE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013861",
            "telephone_number": "770-534-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANCHERLA",
        "first_name": "VAMSI",
        "middle_name": "KRISHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "078140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vkancherla@specialtyorthoga.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1240 Jesse Jewell Pkwy SE Ste 300",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.