| Reddy Pediatrics | |
|
1061 Dowdy Rd Ste 202 Athens GA 30606-5700 | |
| (706) 621-7575 | |
| (706) 621-7557 |
| Full Name | Reddy Pediatrics |
|---|---|
| Speciality | Internal Medicine |
| Location | 1061 Dowdy Rd Ste 202, Athens, Georgia |
| Authorized Official Name and Position | Ram K Reddy (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7062457371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reddy Pediatrics 132 Franklin Springs St Ste A Royston GA 30662-4134 Ph: (706) 621-7575 | Reddy Pediatrics 1061 Dowdy Rd Ste 202 Athens GA 30606-5700 Ph: (706) 621-7575 |
| NPI Number | 1427184654 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 01/12/2024 |
| Medicare PECOS PAC ID | 3274554456 |
|---|---|
| Medicare Enrollment ID | O20051215000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427184654 | NPI | - | NPPES |
| 113885 | Other | GA | PART A MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Ram Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912097155 PECOS PAC ID: 4981625167 Enrollment ID: I20101111000007 |
| Provider Name | Ashok Kancharla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073603239 PECOS PAC ID: 2567657950 Enrollment ID: I20101111000041 |
| Provider Name | Malini K Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568705135 PECOS PAC ID: 3779725445 Enrollment ID: I20170519000627 |
| Provider Name | Devon A Carr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558704999 PECOS PAC ID: 7416185293 Enrollment ID: I20171128000938 |
| Provider Name | Jillian Glaude Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447739230 PECOS PAC ID: 7618221284 Enrollment ID: I20181116002668 |
| Provider Name | Allison Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952800583 PECOS PAC ID: 4587909783 Enrollment ID: I20181217001245 |
| Provider Name | Grady Alexander White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689187130 PECOS PAC ID: 8426482118 Enrollment ID: I20200106002318 |
| Provider Name | Casey A Salcedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699324707 PECOS PAC ID: 0244524981 Enrollment ID: I20200127002142 |
| Provider Name | Lacy Elizabeth Lally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710597927 PECOS PAC ID: 7618397324 Enrollment ID: I20201019003203 |
| Provider Name | Michelle Cathleen Whatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891318333 PECOS PAC ID: 7517366602 Enrollment ID: I20210521001004 |
| Provider Name | Kaya Archibald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831487644 PECOS PAC ID: 1456591072 Enrollment ID: I20210825001424 |
| Provider Name | Macy Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033719521 PECOS PAC ID: 8426446287 Enrollment ID: I20211027001734 |
James L. Brown, Jr., M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2090 Prince Ave, Building A, Athens, GA 30606 Phone: 706-548-3478 Fax: 706-543-7861 | |
Hillsman Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Gaines School Rd, Athens, GA 30605 Phone: 762-499-6960 | |
Evirtualcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Forest Rd, Athens, GA 30605 Phone: 706-502-0503 | |
Northeast Health District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Research Dr, Athens, GA 30605 Phone: 706-583-2856 Fax: 706-369-5732 | |
Athens Regional Physician Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Oglethorpe Avenue, Suite 600a, Athens, GA 30606 Phone: 706-369-5440 Fax: 706-369-5490 | |
G. Steven Chesser Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 Sunset Dr, Bldg 500a Suite 502, Athens, GA 30606 Phone: 706-433-0741 Fax: 706-433-0746 | |
Athens Model Neighborhood Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 675 College Ave, Athens, GA 30601 Phone: 706-546-5526 Fax: 706-546-5687 |