SUSMITHA NIMMAGADDA (NPI# 1689847436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689847436 |
| Entity Type | Individual |
| Full Name | SUSMITHA NIMMAGADDA |
| Credential | M.D |
| Practice Address |
645 Mcqueen Smith Road Suite 207 Prattville AL 36066-7263 |
| Mailing Address |
301 Brown Springs Rd Attn: Provider Enrollment Montgomery AL 36117-7005 |
| Practice Telephone | 3343511000 |
| Practice Fax Number | 3343581207 |
| Mailing Telephone | 3342734508 |
| Mailing Fax Number | 3342734290 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2014-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 125051264 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
645 MCQUEEN SMITH ROAD SUITE 207 |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36066-7263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538373907 | Naresh Bellam | Internal Medicine | 645 Mcqueen Smith Road, Suite 207, Prattville, AL 36066-7263 | 2007-05-09 |
| 1669705737 | John J Richards Md PC | Specialist | 645 Mcqueen Smith Road, Suite 205, Prattville, AL 36066 | 2009-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1407243645 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2703 Legends Parkway, Prattville, AL 36066 | 2015-04-24 |
| 1225396203 | Kristin Taylor | Occupational Therapist | 635 Mcqueen Smith Road, Suite D, Prattville, AL 36066 | 2012-04-27 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1790068757 | Jason Duane Weaver | Physical Therapist | 1824 Glynwood Drive, Prattville, AL 36066 | 2011-09-26 |
| 1982931499 | Health Star Inc | Chiropractor | 2441 Cobbs Ford Road, Prattville, AL 36066 | 2009-11-05 |
| 1023101698 | Drs. Tatum and Walker, L.L.C. | Dentist | 597 South Memorial Drive, Prattville, AL 36066 | 2006-10-02 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1407860380 | Robert Allen Avery | Internal Medicine | 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066 | 2006-07-28 |
| Find all providers in zip 36066 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669560835 | Sylvania S Trinidad | Internal Medicine | 1739 E Main St, Prattville, AL 36066-5525 | 2006-10-11 |
| 1326059494 | Nicholas C Pantaleone | Internal Medicine | 872 Gillespie Street, Prattville, AL 36067-3610 | 2006-08-11 |
| 1376582049 | James Daniel Cartwright | Internal Medicine | 808 Durden Rd, Prattville, AL 36067-1533 | 2006-06-06 |
| 1942296512 | Katherine Booty Windham | Internal Medicine | 204 Medical Center Ct, Prattville, AL 36066-7288 | 2005-09-20 |
| 1265717771 | Khalid Rasheed | Internal Medicine | 124 S Memorial Dr, Prattville, AL 36067-3619 | 2011-10-15 |
| 1497062087 | Sachi Ashwanikumar Gupta | Internal Medicine | 124 S Memorial Dr, Prattville, AL 36067-3619 | 2010-09-03 |
| 1144318312 | Prattville Medical Clinic, PC | Internal Medicine | 1739 E Main St, Prattville, AL 36066-5525 | 2006-10-11 |
| 1366530529 | Charlton H Trinidad | Internal Medicine | 1739 E Main St, Prattville, AL 36066-5525 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324287 | Prestige Telemedicine Group LLC | Internal Medicine | 303 Cumberland Rd, Fairhope, AL 36532-3442 | 2020-07-23 |
| 1447872999 | Robert C. Cain, M.d., LLC | Internal Medicine | 5381 1st Ave N, Birmingham, AL 35212-2401 | 2020-05-07 |
| 1306467337 | Ginger Alred, Md PC | Internal Medicine | 636 2nd St Ne Ste B, Alabaster, AL 35007-8817 | 2020-04-30 |
| 1831718535 | Healthpointe | Internal Medicine | 24020 John T Reid Pkwy, Scottsboro, AL 35769 | 2020-04-13 |
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1992339246 | Comprehensive Pediatrics and Internal Medicine, LLC | Internal Medicine | 430 Emery Dr Ste 200, Hoover, AL 35244-4595 | 2020-02-26 |
| 1922657147 | Julie Anna Wright | Internal Medicine | 100 Rice Mine Rd N Ste 100, Tuscaloosa, AL 35406-3905 | 2019-09-10 |
| 1346897550 | Leap Medical Services LLC | Internal Medicine | 22375 Troon Dr, Athens, AL 35613-8138 | 2019-08-22 |
| 1689146250 | Faith Internal Medicine PC | Internal Medicine | 755 55th Pl E, Tuscaloosa, AL 35405-4140 | 2018-12-20 |
| 1437625084 | Kathryn Northcutt Cunningham | Internal Medicine | 6434 County Road 95, Elberta, AL 36530-5728 | 2018-10-22 |
| Find all providers with the same taxonomy | ||||
| City | PRATTVILLE |
| Zip Code | 36066 |
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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.