Individual provider Active NPI

Swati Pullamaraju, M.D

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1982915633
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
88463 Issued in GA
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

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

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 Home health agency, Roswell, GA, CCN 117131
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88463GAMDFamily Medicine Physician
45976KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis County Medical Associates Family Medicine CurrentSince May 1, 2017 Accepting new patients
Southeast Medical Group, P.C. Family Medicine CurrentSince Jun 28, 2021 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGFCAA
  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.