SRIVIDYA GANESH IYER NP NPI 1205584380

NPI Information

  • NPI: 1205584380
  • Provider Name: SRIVIDYA GANESH IYER, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 73 PRESTIGE LN STE 103
    DAWSONVILLE, GA
    ZIP 30534
  • Phone: (706) 265-8002

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NPI Details

Srividya Ganesh Iyer, NP is a gerontology nurse practitioner in Dawsonville, GA. Srividya Ganesh Iyer, NP NPI is 1205584380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

73 PRESTIGE LN STE 103
DAWSONVILLE, GA
ZIP 30534-370
Phone: (706) 265-8002

The enumeration date for this NPI number is 3/16/2022 and was last updated on 12/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyRN240200GEORGIAYes
2363LG0600XNurse PractitionerGerontologyAPRN-NP240200GEORGIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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