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PRIYA DHARSHINI RAVINDRAN MD
NPI 1033167333
Internal Medicine - Gastroenterology in Augusta, GA

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
1350 WALTON WAY, AUGUSTA, GA 30901(706) 774-5795(706) 774-5792 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 12, 2021, Jan 25, 2021 (2 updates tracked since 2021).

About Priya Dharshini Ravindran Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIYA DHARSHINI RAVINDRAN MD (NPI 1033167333) is an individual gastroenterology provider in Augusta, Georgia, licensed in Georgia (64449) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1033167333
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NamePRIYA DHARSHINI RAVINDRANCredential: MD
Location Address1350 WALTON WAYAugusta, GA 30901-2612
Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 854-6008 · Fax (706) 774-7230
Phone(706) 774-5795
Fax(706) 774-5792
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1999
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 12, 20212 updates tracked since enumeration
NPPES CertifiedJuly 12, 2021
✔ NPI 1033167333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in GA · 64449✔ Licensed in GA · 064449
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1350 WALTON WAY, Augusta, GA 30901
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1902 N 7th StCordele, GA 31015-3234 · Phone (229) 276-3100
Location 2910 N 5th StCordele, GA 31015-3254 · Phone (229) 276-2185 · Fax (229) 276-2186
Location 31505 Northside Blvd, Suite 2850Cumming, GA 30041 · Phone (770) 227-2222 · Fax (770) 227-2220

Other Identifiers 1

Medicaid003100276AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Priya Dharshini Ravindran Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355371808
PECOS Enrollment IDI20101229000440
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Priya Ravindran reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grady Memorial Hospital Corporation
140 mi
Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • Also billed through NPI 1649765686 (Georgia)
  • 771 clinicians in this Medicare group
NPI 1114243813 (404) 616-8880
Wellstar Medical Group, LLC
141 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611
Crisp Regional Hospital Inc
147 mi
General Acute Care Hospital
902 7TH ST NORTH
Cordele, GA 31010
  • Reassigned Medicare billing, Georgia enrollment
  • 124 clinicians in this Medicare group
NPI 1700851649 (229) 271-9686
Tift Regional Health System Inc
163 mi
Pediatrics
39 KENT RD STE 5
Tifton, GA 31794
  • Reassigned Medicare billing, Georgia enrollment
  • 337 clinicians in this Medicare group
NPI 1366765166 (229) 353-7337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
46 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services32 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
29 services28 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
17 services17 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110016
Location1514 Vernon RoadLagrange, GA 30240 · Troup County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENOCH BUSULWA LULE M.D.
Internal Medicine
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5542
DR. MARY TANEOUS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5400
DR. KAILASH B SHARMA MD
Pathology (Anatomic Pathology & Clinical Pathology)
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-5400
MICHEL TANIOS M.D.
Internal Medicine
1350 WALTON WAY, HOSPITALISTS
AUGUSTA, GA 30901
Richmond County (706) 774-7263
FLYNT STEBBINS CONNOR M.S., CCC-SLP
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-2166
LAURA ENZ
Speech-Language Pathologist
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 774-2166
CANDACE M CURTIS MD
Anesthesiology
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 737-6950
PEACH STATE EMERGENCY PHYSICIANS LLC
Emergency Medicine
1350 WALTON WAY
AUGUSTA, GA 30901
Richmond County (706) 722-9011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Priya Ravindran's NPI number?

The NPI number for Priya Ravindran is 1033167333. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Priya Ravindran located?

Priya Ravindran practices at 1350 Walton Way, Augusta, GA 30901. The listed phone number is (706) 774-5795.

What is Priya Ravindran's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Priya Ravindran enrolled in Medicare?

Yes. Priya Ravindran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Priya Ravindran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Ravindran reassigns Medicare benefits to 4 organizations: Grady Memorial Hospital Corporation (Atlanta, GA), Wellstar Medical Group, LLC (Roswell, GA), Crisp Regional Hospital Inc (Cordele, GA) and Tift Regional Health System Inc (Tifton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Priya Ravindran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priya Ravindran accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Priya Ravindran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Priya Ravindran affiliated with any hospitals?

According to CMS data, Priya Ravindran is affiliated with Wellstar West Georgia Medical Center, Wellstar Kennestone Regional Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Priya Ravindran was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.