SRIVIDYA GANESH IYER NP
NPI 1205584380
Nurse Practitioner - Gerontology in Dawsonville, GA
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Srividya Ganesh Iyer Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Srividya Iyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Athens, GA 30607
- Reassigned Medicare billing, Georgia enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
DAWSONVILLE, GA 30534
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 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.
Where is Srividya Iyer located?
Srividya Iyer practices at 73 Prestige Ln Ste 103, Dawsonville, GA 30534. The listed phone number is (706) 265-8002.
What is Srividya Iyer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Srividya Iyer enrolled in Medicare?
Yes. Srividya Iyer is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Srividya Iyer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Srividya Iyer reassigns Medicare benefits to North Georgia Neprology Consultants LLC (Athens, GA). The 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 Srividya Iyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 10 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.
# Srividya Ganesh Iyer, NP · NPI 1205584380
Gerontology physician in Dawsonville, Georgia. Individual provider, active in the CMS NPPES registry since March 16, 2022.
## Identity
- **NPI:** 1205584380 (Entity type: Individual)
- **Enumerated:** March 16, 2022
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** RN240200 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 73 PRESTIGE LN STE 103, Dawsonville, GA 30534-6370
- **Phone:** (706) 265-8002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Georgia Neprology Consultants LLC (NPI 1275668394, Athens, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205584380) · Data from the CMS NPPES public registry.