SWETHA PRIYA CHAPARALA MD
NPI 1295398964
Internal Medicine in Athens, GA
About Swetha Priya Chaparala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SWETHA PRIYA CHAPARALA MD (NPI 1295398964) is an individual internal medicine provider in Athens, Georgia, licensed in Georgia (91435) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and maintains a secondary practice location in Athens.
NPPES Registry Identity
Specialties & Licenses 2
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
Swetha Priya Chaparala 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.
Medicare Billing Reassignments
4Medicare enrollment records show Swetha Priya Chaparala reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 118 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 792 clinicians in this Medicare group
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 410 clinicians in this Medicare group
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Also billed through NPI 1588717755 (Virginia)
- 2,618 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Athens Regional Medical Center
Acute Care Hospitals · Athens, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30606 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.
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 Swetha Priya Chaparala's NPI number?
The NPI number for Swetha Priya Chaparala is 1295398964. It was assigned to this individual provider in the NPPES registry on April 18, 2019.
Where is Swetha Priya Chaparala located?
Swetha Priya Chaparala practices at 1199 Prince Ave, Athens, GA 30606. The listed phone number is (706) 475-5076.
What is Swetha Priya Chaparala's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Swetha Priya Chaparala enrolled in Medicare?
Yes. Swetha Priya Chaparala 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 Swetha Priya Chaparala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Swetha Priya Chaparala reassigns Medicare benefits to 4 organizations: Piedmont Athens Primary Care LLC (Athens, GA), Piedmont Hospitalist Physicians LLC (Stockbridge, GA), Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA) and Inova Health Care Services (Falls Church, VA). 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 Swetha Priya Chaparala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Swetha Priya Chaparala accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Swetha Priya Chaparala 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 Swetha Priya Chaparala affiliated with any hospitals?
According to CMS data, Swetha Priya Chaparala is affiliated with Piedmont Athens Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Swetha Priya Chaparala was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Swetha Priya Chaparala, MD · NPI 1295398964
Internal Medicine physician in Athens, Georgia. Individual provider, active in the CMS NPPES registry since April 18, 2019.
## Identity
- **NPI:** 1295398964 (Entity type: Individual)
- **Enumerated:** April 18, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 91435 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1199 PRINCE AVE, Athens, GA 30606-2797
- **Phone:** (706) 475-5076
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Piedmont Athens Primary Care LLC (NPI 1245746783, Athens, GA); Piedmont Hospitalist Physicians LLC (NPI 1548219660, Stockbridge, GA); Piedmont Athens Hospitalist Physicians LLC (NPI 1578079000, Atlanta, GA); Inova Health Care Services (NPI 1952320061, Falls Church, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295398964) · Data from the CMS NPPES public registry.