SWATHI KANAKAMEDALA DO
NPI 1275110892
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since March 28, 2021PECOS Enrolled
743 SPRING ST NE STE 710, GAINESVILLE, GA 30501(770) 219-8730 Get Directions Write a Review

NPPES record last updated: March 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Swathi Kanakamedala Do NPPES

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

SWATHI KANAKAMEDALA DO (NPI 1275110892) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275110892
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSWATHI KANAKAMEDALACredential: DO
Location Address743 SPRING ST NE STE 710Gainesville, GA 30501-3715
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730
Sole ProprietorNo
Enumeration DateMarch 28, 2021
NPPES CertifiedMarch 28, 2021
NPI 1275110892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

743 SPRING ST NE STE 710, Gainesville, GA 30501

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Swathi Kanakamedala Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275110892, enumerated as an "individual" on March 28, 2021.

The provider is located at 743 SPRING ST NE STE 710 GAINESVILLE, GA 30501 and the phone number is (770) 219-8730.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.