SRIVIDYA KODURU
NPI 1073804969
Family Medicine in Johns Creek, GA
About Srividya Koduru NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SRIVIDYA KODURU (NPI 1073804969) is an individual family medicine provider in Johns Creek, Georgia, licensed in Georgia (73185) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Srividya Koduru 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Cherokee
Acute Care Hospitals · Canton, GAEmory Johns Creek Hospital
Acute Care Hospitals · Johns Creek, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30097 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
JOHNS CREEK, GA 30097
JOHNS CREEK, GA 30097
JOHNS CREEK, GA 30097
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 Srividya Koduru's NPI number?
The NPI number for Srividya Koduru is 1073804969. It was assigned to this individual provider in the NPPES registry on April 26, 2011. The provider is also known as Srividya Thulluru.
Where is Srividya Koduru located?
Srividya Koduru practices at 6325 Hospital Pkwy, Johns Creek, GA 30097. The listed phone number is (678) 474-7038.
What is Srividya Koduru's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Srividya Koduru enrolled in Medicare?
Yes. Srividya Koduru 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.
What insurance does Srividya Koduru accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Srividya Koduru 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 Srividya Koduru affiliated with any hospitals?
According to CMS data, Srividya Koduru is affiliated with Northside Hospital Cherokee and Emory Johns Creek Hospital.
When was this NPI record last updated?
The NPPES record for Srividya Koduru was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.
# Srividya Koduru · NPI 1073804969
Family Medicine physician in Johns Creek, Georgia. Individual provider, active in the CMS NPPES registry since April 26, 2011.
## Identity
- **NPI:** 1073804969 (Entity type: Individual)
- **Enumerated:** April 26, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 73185 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6325 HOSPITAL PKWY, Johns Creek, GA 30097-5775
- **Phone:** (678) 474-7038
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** July 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073804969) · Data from the CMS NPPES public registry.