DR. VAISHALI ERAGAM REDDY DO
NPI 1255894960
Internal Medicine in Johns Creek, GA
About Dr. Vaishali Eragam Reddy Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VAISHALI ERAGAM REDDY DO (NPI 1255894960) is an individual internal medicine provider in Johns Creek, Georgia, licensed in Georgia (92482) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and maintains a secondary practice location in Atlanta.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Dr. Vaishali Eragam Reddy Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Vaishali Reddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 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.
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.
Emory University Hospital Midtown
Acute Care Hospitals · Atlanta, 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.
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 Vaishali Reddy's NPI number?
The NPI number for Vaishali Reddy is 1255894960. It was assigned to this individual provider in the NPPES registry on April 9, 2019.
Where is Vaishali Reddy located?
Vaishali Reddy practices at 6325 Hospital Pkwy, Johns Creek, GA 30097. The listed phone number is (678) 474-7000.
What is Vaishali Reddy's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Vaishali Reddy enrolled in Medicare?
Yes. Vaishali Reddy 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 Vaishali Reddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vaishali Reddy reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Emory Specialty Associates, LLC (Lagrange, 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 Vaishali Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vaishali Reddy accept?
Health plans from Ambetter Health and Oscar Health list Vaishali Reddy 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 Vaishali Reddy affiliated with any hospitals?
According to CMS data, Vaishali Reddy is affiliated with Emory University Hospital Midtown and Emory Johns Creek Hospital.
When was this NPI record last updated?
The NPPES record for Vaishali Reddy was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Vaishali Eragam Reddy, DO · NPI 1255894960
Internal Medicine physician in Johns Creek, Georgia. Individual provider, active in the CMS NPPES registry since April 9, 2019.
## Identity
- **NPI:** 1255894960 (Entity type: Individual)
- **Enumerated:** April 9, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 92482 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6325 HOSPITAL PKWY, Johns Creek, GA 30097-5775
- **Phone:** (678) 474-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2019
## Record status
- **NPPES last updated:** August 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1255894960) · Data from the CMS NPPES public registry.