SRIDEVI GOWRAVARAM (NPI# 1558305888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558305888 |
| Entity Type | Individual |
| Full Name | SRIDEVI GOWRAVARAM |
| Credential | MD |
| Practice Address |
101 Regency Park Dr Ste 140 Mcdonough GA 30253-7076 |
| Practice Telephone | 7709578626 |
| Mailing Telephone | 2186832698 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 72556 | GA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 53897 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
101 REGENCY PARK DR STE 140 |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-7076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366818833 | Tara Michelle Santee | Nurse Practitioner | 101 Regency Park Dr Ste 140, Mcdonough, GA 30253-7076 | 2015-08-19 |
| 1467828939 | Unchong Christina Choe | Nurse Practitioner | 101 Regency Park Dr Ste 140, Mcdonough, GA 30253-7076 | 2015-08-19 |
| 1083080550 | Emily Il Arthur | Nurse Practitioner | 101 Regency Park Dr Ste 140, Mcdonough, GA 30253-7076 | 2015-08-19 |
| 1023445418 | Michelle Renee Crumbley | Nurse Practitioner | 101 Regency Park Dr Ste 140, Mcdonough, GA 30253-7076 | 2013-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548385941 | Mcdonough Children's Specialist, P.C. | Pediatrics | 350 Huntington Place Ct, Mcdonough, GA 30253-8651 | 2007-03-21 |
| 1043390750 | Joseph Astacio | Pediatrics | 350 Huntington Place Court, Mcdonough, GA 30253 | 2006-10-17 |
| 1700833753 | Ronnie E Smith | Pediatrics | 543 Jonesboro Rd, Mcdonough, GA 30253 | 2006-05-27 |
| 1134177140 | Belinda Stephens Hodges | Pediatrics | 1125 Towne Center Village Drive, Kaiser Permanente Henry Towne Centre Medical Center, Mcdonough, GA 30253 | 2006-05-04 |
| 1063035269 | Whitney Layne Studle | Pediatrics | 130 Enterprise Pkwy, Mcdonough, GA 30253-9000 | 2020-05-21 |
| 1669668125 | Mcdonough Pediatrics | Pediatrics | 101 Regency Park Dr, Ste 140, Mcdonough, GA 30253-7080 | 2007-09-19 |
| 1689754392 | Carlos Bienvenido Soriano | Pediatrics | 350 Huntington Place Court, Mcdonough, GA 30253 | 2006-10-17 |
| 1912943952 | Sekhar C Sankaran | Pediatrics | 101 Regency Park Dr, Ste 140, Mcdonough, GA 30253 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025690 | Sas Medical LLC | Pediatrics | 8601 Dunwoody Pl Ste 565, Sandy Springs, GA 30350-2519 | 2020-08-24 |
| 1467063248 | Kindercare Pediatrics of Georgia | Pediatrics | 174 Royal Oak Dr, Guyton, GA 31312-5624 | 2020-08-13 |
| 1649880667 | Grayson Pediatrics Mobile | Pediatrics | 297 Cooper Rd Ste B, Loganville, GA 30052-2518 | 2020-08-04 |
| 1134745953 | Molly C Shields | Pediatrics | Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-17 |
| 1033734918 | Lauren Wooten Smith | Pediatrics | Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-16 |
| 1225667314 | Moyosore Mary Abere | Pediatrics | 104 Bluff Chase, Bonaire, GA 31005-3867 | 2020-04-02 |
| 1447886155 | Natalie Brown Shumate | Pediatrics | 1669 Pleasant Valley Rd Ne, Monroe, GA 30655-6211 | 2020-03-14 |
| 1356988455 | Maura Mchugh Barrett | Pediatrics | 1805 Parke Plaza Cir Ste 103, Stone Mountain, GA 30087-3646 | 2019-12-08 |
| 1629614060 | Kaley Adams | Pediatrics | 227 Torrington Blvd, Thomasville, GA 31757-3904 | 2019-11-20 |
| 1164066791 | Holly Savino | Pediatrics | 603 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4315 | 2019-11-06 |
| Find all providers with the same taxonomy | ||||
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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.