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DR. ANURADHA PAVULURI MD NPI 1306057914


NPI Information

NPI: 1306057914
Provider Name: DR. ANURADHA PAVULURI, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
777 HEMLOCK ST
MSC 10
MACON, GA
ZIP 31201
Phone: (478) 633-7140
Get Directions

DR. Anuradha Pavuluri, MD is a pediatrics in Macon, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Anuradha Pavuluri, MD NPI is 1306057914. 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:

777 HEMLOCK ST
MSC 10
MACON, GA
ZIP 31201-102
Phone: (478) 633-7140
Fax: (478) 633-4295

The NPI 1306057914 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 7/13/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsABO 797 603NEW YORKNo
2208000000XPediatrics4301094423MICHIGANNo
3208000000XPediatrics070401GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11046518OTHERMICHIGANMCLAREN
2070401OTHERGEORGIAGA LICENSE
33502900092OTHERMICHIGANBCBSM
4200000021987OTHERMICHIGANPHP COMMERCIAL
51046519OTHERMICHIGANMCLAREN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.