| Dr Anuradha Pavuluri, MD | |
|
777 Hemlock St, Msc 10, Macon, GA 31201-2102 | |
| (478) 633-7140 | |
| (478) 633-4295 |
| Full Name | Dr Anuradha Pavuluri |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 777 Hemlock St, Macon, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306057914 | NPI | - | NPPES |
| 1046519 | Other | MI | MCLAREN |
| 200000021987 | Other | MI | PHP COMMERCIAL |
| 1046518 | Other | MI | MCLAREN |
| 070401 | Other | GA | GA LICENSE |
| 3502900092 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ABO 797 603 (New York) | Secondary |
| 208000000X | Pediatrics | 4301094423 (Michigan) | Secondary |
| 208000000X | Pediatrics | 070401 (Georgia) | Primary |
| Entity Name | Health Services Of Central Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184679482 PECOS PAC ID: 9638076730 Enrollment ID: O20031217000270 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anuradha Pavuluri, MD 2490 Riverside Dr, Ste B, Macon, GA 31204-1787 Ph: (478) 633-6633 | Dr Anuradha Pavuluri, MD 777 Hemlock St, Msc 10, Macon, GA 31201-2102 Ph: (478) 633-7140 |
Dr. Marcia Bender Hutchinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 149 Ashford Park, Macon, GA 31210 Phone: 478-342-5465 | |
Lauren Wagner, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Hemlock St, Msc 42, Macon, GA 31201 Phone: 478-633-7600 Fax: 478-633-7354 | |
Rachel Goodson, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1014 Forsyth St, Macon, GA 31201 Phone: 478-633-8100 Fax: 478-633-6268 | |
Lowell Clark, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Msc 83, Macon, GA 31201 Phone: 478-633-7140 | |
Umesh Sundersingh Narsinghani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-7140 | |
Mrs. Stephanie Faye Bennett, Pediatrics Medicare: Medicare Enrolled Practice Location: 1014 Forsyth St, Macon, GA 31201 Phone: 478-633-8100 | |
Dr. Vishwas S Sakhalkar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 770 Pine St Ste 520, Macon, GA 31201 Phone: 478-633-2694 Fax: 478-633-4146 |