| Kranti Venkata Peddada, | |
| 3870 Pleasant Hill Rd Ste 1, Duluth, GA 30096-4807 | |
| (404) 355-0743 | |
| (855) 228-6169 | 
| Full Name | Kranti Venkata Peddada | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 
| Location | 3870 Pleasant Hill Rd Ste 1, Duluth, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366807612 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 99198 (Georgia) | Secondary | 
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 99198 (Georgia) | Primary | 
| Entity Name | Physicians Of Falmouth Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821363698 PECOS PAC ID: 6800051970 Enrollment ID: O20120625000127 | 
| Entity Name | Brigham & Womens Physicians Organization Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kranti Venkata Peddada, 3870 Pleasant Hill Rd Ste 1, Duluth, GA 30096-4807 Ph: (404) 355-0743 | Kranti Venkata Peddada, 3870 Pleasant Hill Rd Ste 1, Duluth, GA 30096-4807 Ph: (404) 355-0743 | 
| Conor Murphy, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3870 Pleasant Hill Rd Ste 1, Duluth, GA 30096 Phone: 404-355-0743 | |
| Dr. Mathew William Pombo, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096 Phone: 770-813-8888 | |
| Dr. Timothy Scott Maughon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3855 Pleasant Hill Rd, Suite 470, Duluth, GA 30096 Phone: 770-813-8888 Fax: 770-813-0007 | |
| Dr. William Moten Craven, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 Phone: 770-322-7333 Fax: 770-322-1133 | |
| Dr. Emilie Amaro Zoldos, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3870 Pleasant Hill Rd Ste 1, Duluth, GA 30096 Phone: 404-355-0743 Fax: 855-228-6169 | |
| George William Fryhofer Iv, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3870 Pleasant Hill Rd Ste 1, Duluth, GA 30096 Phone: 404-355-0743 Fax: 855-228-6169 |