| NPI | 1124062534 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-06-15 |
| Last Updated | 2022-07-21 |
| Mailing Address | 220 J L White Dr Ste 150 Jasper, GA 30143-4895 United States Phone: (706) 299-2200 📍 View Map |
| Primary Practice Address | 220 J L White Dr Ste 150 Jasper, GA 30143-4895 United States Phone: (706) 299-2200 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NJ | 0096288 | — |
| MEDICAID | PA | 1015276170001 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | GA | 079010 |
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About NPI 1124062534
Neetu Pannala-Lakshma Reddy MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124062534. The primary specialty listed is Internal Medicine. The provider is located in Jasper, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124062534?
NPI 1124062534 belongs to Neetu Pannala-Lakshma Reddy MD, a Internal Medicine in Jasper, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124062534 active?
The current status of NPI 1124062534 in the NPPES registry is Active. The record was last updated on 2022-07-21.
What specialty is NPI 1124062534?
NPI 1124062534 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124062534?
You can verify NPI 1124062534 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124062534?
The primary practice address on file for NPI 1124062534 is 220 J L White Dr Ste 150, Jasper, GA 30143-4895. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124062534 issued?
NPI 1124062534 was first issued (enumerated) on 2006-06-15. The NPPES record was last updated on 2022-07-21.
Practice Location Map
Neetu Pannala-Lakshma Reddy is located at 220 J L White Dr Ste 150, Jasper, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Neetu Pannala-Lakshma Reddy. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124062534. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 079010 | GA |