SRIVIDYA GANESH IYER NP
NPI 1205584380
Nurse Practitioner - Gerontology in Dawsonville, GA

Q: What is Srividya Iyer's NPI number?

The NPI number for Srividya Iyer is 1205584380. It was assigned to this individual provider in the NPPES registry on March 16, 2022. The provider is also known as Mrs. Srividya Ganesh Iyer Np.

Q: What is Srividya Iyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Srividya Iyer was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since March 16, 2022PECOS Enrolled

73 PRESTIGE LN STE 103, DAWSONVILLE, GA 30534(706) 265-8002 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2025, Oct 12, 2025 (2 updates tracked since 2025).

On this page

About Srividya Ganesh Iyer Np NPPES

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

SRIVIDYA GANESH IYER NP (NPI 1205584380) is an individual gerontology provider in Dawsonville, Georgia, licensed in Georgia (RN240200) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205584380

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSRIVIDYA GANESH IYERCredential: NP

Location Address73 PRESTIGE LN STE 103Dawsonville, GA 30534-6370

Mailing Address4430 Saint Andrews Crest DrCumming, GA 30040-9364 · (864) 363-1046

Phone(706) 265-8002

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 16, 2022

Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1205584380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in GA · RN240200✔ Licensed in GA · APRN-NP240200

73 PRESTIGE LN STE 103, Dawsonville, GA 30534

Open in Google Maps ↗

Other Names 1

Professional Name (2)Mrs. Srividya Ganesh Iyer Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Srividya Ganesh Iyer Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618461930

PECOS Enrollment IDI20251212002887

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30534 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

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 5

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

GHOSN ELDERLY CARE

Family Medicine (Hospice and Palliative Medicine)