Active NPI
Swati Pullamaraju, M.D
- Family Medicine Physician
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 88463
- Practice address
- 3400C Old Milton Pkwy Ste 270
Alpharetta, GA 30005-4438 - Phone
- (770) 442-1911
- Fax
- (770) 663-8905
- NPI assigned
- Jun 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 45976 | KY | |
| Family Medicine Physician | 207Q00000X | 88463 | GA | Primary |
Addresses
Primary practice location
3400C Old Milton Pkwy Ste 270
Alpharetta, GA 30005-4438
Mailing address
3400C Old Milton Pkwy Ste 270
Alpharetta, GA 30005-4438
Phone (770) 442-1911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210917000083 | GA | Practitioner - Family Practice | 4688800196 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1255 Friendship Rd
Suite 130
Braselton, GA 30517-5617
Phone (770) 442-1911
4235 Johns Creek Pkwy
Suite a
Suwanee, GA 30024-6038
Phone (770) 442-1911
4865 Lavista Rd
Suite a
Tucker, GA 30084-4436
Phone (770) 442-1911
Hospital & facility affiliations
- Accentcare Home Health of Georgia
- Northside Hospital
- Wellstar North Fulton Medical Center
- Wellstar Windy Hill Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88463 | GA | MD | Family Medicine Physician |
| 45976 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis County Medical Associates | Family Medicine | Current | Accepting new patients |
| Southeast Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
Locations
3400 Old Milton Pkwy
Ste 270
Alpharetta, GA 30005
Phone 7704421911262
3400 Old Milton Pkwy
Ste C270
Alpharetta, GA 30005
Phone 7704421911233
3905 Brookside Pkwy
Ste 300
Alpharetta, GA 30022
Phone (770) 442-9111
1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350
1800 Northside Forsyth Dr
Ste 450
Cumming, GA 30041
Phone (678) 947-6440
4235 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 402-9550
802 W Lampasas St
Ennis, TX 75119
Phone (972) 875-4700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AGFCAA
- https://fhir4.healow.com/fhir/r4/DIJIBA
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Alpharetta, GA
- NPI 1235296054
Family Medicine, GA
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Roswell, GA
- NPI 1992736227
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1982915633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400C OLD MILTON PKWY STE 270",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054438",
"telephone_number": "770-442-1911",
"fax_number": "770-663-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400C OLD MILTON PKWY STE 270",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054438",
"telephone_number": "770-442-1911",
"fax_number": "770-663-8905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLAMARAJU",
"first_name": "SWATI",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "45976",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "88463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.