| Jithender Reddy, MD | |
|
523 Dixie St, Suite 3, Carrollton, GA 30117-3870 | |
| (770) 456-3722 | |
| (770) 456-3785 |
| Full Name | Jithender Reddy |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 31 Years |
| Location | 523 Dixie St, Carrollton, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114955457 | NPI | - | NPPES |
| 267151 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 26715 (South Carolina) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 064450 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeastern Regional Medical Center | Newnan, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Of Hope Medical Group Of Georgia Llc | 4880841212 | 112 |
| Entity Name | Pathways Center For Behavioral And Developmental Growth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124183082 PECOS PAC ID: 5193712073 Enrollment ID: O20040430000883 |
| Entity Name | City Of Hope Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
| Entity Name | Tmc-behavioral Health Of West Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356795462 PECOS PAC ID: 2163714635 Enrollment ID: O20160705000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Jithender Reddy, MD 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 Ph: (770) 838-8710 | Jithender Reddy, MD 523 Dixie St, Suite 3, Carrollton, GA 30117-3870 Ph: (770) 456-3722 |
Dr. David P. Hartley, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 106 E Center St, Carrollton, GA 30117 Phone: 770-830-6006 | |
Robert K Naguszewski, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 905 Dixie St, Carrollton, GA 30117 Phone: 770-812-5831 Fax: 770-812-5832 | |
Stephen Christopher Dudley, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Pl, 303, Carrollton, GA 30117 Phone: 770-812-5793 Fax: 880-812-5784 | |
Dr. Michael Andrew Wilshire, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 157 Clinic Ave Ste 301, Carrollton, GA 30117 Phone: 770-812-3631 Fax: 770-812-3371 | |
Sherry Gwyn Taylor Akers, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Pl Ste 303, Carrollton, GA 30117 Phone: 770-812-5783 Fax: 770-812-5784 | |
Dr. Richard John Mikilitus Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 524 Dixie St, Carrollton, GA 30117 Phone: 770-832-2775 Fax: 770-832-9529 |