DR. LALITHA C MEDEPALLI (NPI# 1700838380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700838380 |
| Entity Type | Individual |
| Full Name | DR. LALITHA C MEDEPALLI |
| Credential | MD |
| Practice Address |
200 S Enota Dr Ne Ste 100 Gainesville GA 30501-3466 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7705342020 |
| Practice Fax Number | 7705348025 |
| Mailing Telephone | 7702198420 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
049517 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00896123B | 05 |
| Street Address |
200 S ENOTA DR NE STE 100 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679572069 | Sudhakara Babu Chennareddy | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2005-07-18 |
| 1740739853 | Christopher Blake Ennis | Nurse Practitioner | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2016-09-30 |
| 1437530326 | Shelley A. Robertson | Nurse Practitioner | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2015-06-16 |
| 1801288337 | Rachel E Lebolo | Nurse Practitioner | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2015-02-20 |
| 1043631096 | Heather Michelle Tillery | Nurse Practitioner | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2013-12-18 |
| 1851721161 | Elizabeth Illing | Nurse Practitioner | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501 | 2013-11-22 |
| 1558687384 | Ugochukwu Onyibo Egolum | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2010-04-19 |
| 1386872729 | Vedang J Bhavsar | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2009-06-24 |
| 1740431295 | Santhi Adigopula | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2008-10-02 |
| 1578727038 | Ioannis Parastatidis | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1427690775 | The Cardiac and Vascular Institute Ambulatory Surgery Center | Internal Medicine | 4645 Nw 8th Ave Ste 10, Gainesville, FL 32605-4688 | 2019-10-08 |
| 1639213101 | James B Destephens Md Pa | Internal Medicine | 2341 Nw 41st St Ste B, Gainesville, FL 32606-7442 | 2007-02-17 |
| 1861583833 | Mark Velpeau Barrow Sr. | Internal Medicine | 1731-b Nw 6th Steet, Gainesville, FL 32609-3531 | 2006-09-27 |
| 1881650836 | James J Nelson Md Pa | Internal Medicine | 3720 Nw 83rd St, Gainesville, FL 32606-5603 | 2006-04-26 |
| 1902871155 | David P Johnson | Internal Medicine | 535 Jesse Jewell Parkway, Suite C, Gainesville, GA 30501 | 2006-02-21 |
| 1982684460 | James Bruce Destephens | Internal Medicine | 2341 Nw 41st St, Suite B, Gainesville, FL 32606-7494 | 2006-01-19 |
| 1497730428 | Khawaja N Anwar | Internal Medicine | 1902 Hospital Blvd Ste F, Gainesville, TX 76240-2008 | 2005-12-13 |
| 1255313649 | Southern Cardiac Interpretation Pa | Internal Medicine | 350 Nw 76th Dr, Suite B, Gainesville, FL 32607-6662 | 2005-11-19 |
| 1760484562 | Masih Uddin | Internal Medicine | 1475 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2005-08-11 |
| 1679572069 | Sudhakara Babu Chennareddy | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2005-07-18 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on DR. LALITHA C MEDEPALLI.
| 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.