KRISHNA SOWJANYA YARLAGADDA MD
NPI 1104180587
Internal Medicine in Gainesville, GA

Active since June 29, 2012PECOS EnrolledAccepts Medicare Assignment
1285 SIMS ST, GAINESVILLE, GA 30501(770) 219-8583(770) 219-8584 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2022, Aug 1, 2018, Jun 5, 2017 and 1 more (4 updates tracked since 2016).

About Krishna Sowjanya Yarlagadda Md NPPES

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

KRISHNA SOWJANYA YARLAGADDA MD (NPI 1104180587) is an individual internal medicine provider in Gainesville, Georgia, licensed in Georgia (93150) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Des Moines.

NPPES Registry Identity

NPI1104180587
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKRISHNA SOWJANYA YARLAGADDACredential: MD
Location Address1285 SIMS STGainesville, GA 30501-3851
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Fax(770) 219-8584
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 29, 2012
Last NPPES UpdateAugust 19, 20224 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
NPI 1104180587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in GA · 93150 Licensed in CT · 53611 Licensed in IA · MD-45028
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1285 SIMS ST, Gainesville, GA 30501

Secondary Practice Location 1

Location 11540 High St Ste 101Des Moines, IA 50309 · Phone (515) 237-3985 · Fax (515) 237-3994

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

Krishna Sowjanya Yarlagadda 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 ID6204119282
PECOS Enrollment IDI20220826000358
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.

Areas of Expertise CMS Part B claims 17

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
432 services188 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
409 services180 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
105 services105 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
99 services72 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier15 claims30 services$2.73 avg. paid by Medicare
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each E0978
DME-Wheelchairs · category DD021N
1 supplier18 claims18 services$2.03 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$21.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Internal Medicine
1285 SIMS ST
GAINESVILLE, GA 30501
Obstetrics & Gynecology
1285 SIMS ST
GAINESVILLE, GA 30501
Advanced Practice Midwife
1285 SIMS ST
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
1285 SIMS ST
GAINESVILLE, GA 30501
Internal Medicine
1285 SIMS ST
GAINESVILLE, GA 30501
Family Medicine
1285 SIMS ST
GAINESVILLE, GA 30501
Obstetrics & Gynecology
1285 SIMS ST
GAINESVILLE, GA 30501
Obstetrics & Gynecology
1285 SIMS ST
GAINESVILLE, GA 30501

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 Krishna Sowjanya Yarlagadda's NPI number?

The NPI number for Krishna Sowjanya Yarlagadda is 1104180587. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Krishna Sowjanya Yarlagadda located?

Krishna Sowjanya Yarlagadda practices at 1285 Sims St, Gainesville, GA 30501. The listed phone number is (770) 219-8583.

What is Krishna Sowjanya Yarlagadda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Krishna Sowjanya Yarlagadda enrolled in Medicare?

Yes. Krishna Sowjanya Yarlagadda 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 Krishna Sowjanya Yarlagadda accept?

Health plans from Alliant Health Plans, Inc. list Krishna Sowjanya Yarlagadda 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 Krishna Sowjanya Yarlagadda affiliated with any hospitals?

According to CMS data, Krishna Sowjanya Yarlagadda is affiliated with Northeast Georgia Medical Center, Inc and Northeast Georgia Medical Center Habersham.

When was this NPI record last updated?

The NPPES record for Krishna Sowjanya Yarlagadda was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.