C. B. REDDY MD PC (NPI# 1437436094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437436094 |
Entity Type | Organization |
Organization Name | C. B. REDDY MD PC |
Practice Address |
610 S 8th Street Suite F Griffin GA 30224 |
Practice Telephone | 7702289719 |
Practice Fax Number | 7702288244 |
Mailing Telephone | 7702289719 |
Mailing Fax Number | 7702288244 |
Enumeration Date | 2011-11-10 |
Last Update Date | 2011-11-10 |
Authorized Official Name | DR. CHELUKALA BAFU REDDY (DOCTOR) |
Authorized Official Telephone | 7702289719 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | 27431 | GA | Managed Care Organizations |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00325102A | 05 |
Street Address |
610 S 8TH STREET SUITE F |
City | GRIFFIN |
State | GA |
Zip Code | 30224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
1902188204 | Rocky Mountain Holdings LLC | Ambulance | 215 Midfield Dr, Griffin, GA 30224 | 2011-09-13 |
Find all providers in zip 30224 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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1477920668 | Brighter Tomorrows Consulting | Preferred Provider Organization | 1815 N Expressway, Griffin, GA 30223-1185 | 2015-08-24 |
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1285196477 | Nutrition Prescriptions LLC | Preferred Provider Organization | 2670 Miriam Ln, Decatur, GA 30032-5731 | 2019-04-05 |
1831622976 | Jencare Neiborhood Medical Center | Preferred Provider Organization | 2209 Brandon Ln Sw, Conyers, GA 30094-5084 | 2017-04-05 |
1578003349 | Lrdj LLC | Preferred Provider Organization | 790 Huff Rd Nw Apt 4055, Atlanta, GA 30318-4373 | 2017-02-27 |
1659818482 | Three In One Medical | Preferred Provider Organization | 5222 Addison Trl Sw, Lilburn, GA 30047-6670 | 2017-01-31 |
1205288164 | Medprime Brookhaven | Preferred Provider Organization | 2 Concourse Pkwy, Suite 100, Atlanta, GA 30328-5371 | 2016-07-04 |
1003267352 | New Horizon | Preferred Provider Organization | 6200 Bradley Park Dr, Columbus, GA 31904-3078 | 2016-06-28 |
1154796563 | Michelle Woodard M.d LLC | Preferred Provider Organization | 2410 Hog Mountain Rd Ste 303, Watkinsville, GA 30677-4850 | 2015-12-10 |
1730553322 | Amanda Kort, LLC | Preferred Provider Organization | 37 West Fairmont Avenue, Savannah, GA 31405 | 2015-11-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.