| Divya Ravindra Reddy, MD | |
|
1120 15th St, Augusta, GA 30912-0004 | |
| (706) 721-9442 | |
| Not Available |
| Full Name | Divya Ravindra Reddy |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 15 Years |
| Location | 1120 15th St, Augusta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114456027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 00009174 (Georgia) | Secondary |
| 2080P0210X | Pediatrics - Pediatric Nephrology | V3946 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Childrens Medical Ctr Of Dallas | Dallas, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Texas Southwestern Medical Center At Dallas | 0648188250 | 2784 |
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Mailing Address | Practice Location Address |
|---|---|
| Divya Ravindra Reddy, MD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-9442 | Divya Ravindra Reddy, MD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-9442 |
Kenny Esho, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 574-850-2999 | |
Janelle Mcgill, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Kristen Beeler, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1446 Harper St, Augusta, GA 30912 Phone: 706-721-5437 | |
Ansley Wilson Smith, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1469 Laney Walker Blvd, Augusta, GA 30912 Phone: 706-721-7005 | |
Lorna Evorie Bell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941 | |
Dr. William Weston Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 93 Bristlecone Ct., Augusta, GA 30909 Phone: 706-736-3704 | |
Dr. Amanda Chaffin, Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-9442 |