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SOWMYA REDDY MD
NPI 1295829059
Obstetrics & Gynecology in Alpharetta, GA

Active since October 03, 2006PECOS Enrolled
2905 JORDAN CT STE G, ALPHARETTA, GA 30004(678) 335-9223(678) 335-9236 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sowmya Reddy Md NPPES

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

SOWMYA REDDY MD (NPI 1295829059) is an individual obstetrics & gynecology provider in Alpharetta, Georgia, licensed in Georgia (060596) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295829059
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSOWMYA REDDYCredential: MD
Location Address2905 JORDAN CT STE GAlpharetta, GA 30004-8966
Mailing Address2905 Jordan Ct Ste GAlpharetta, GA 30004-8966 · (678) 335-9223 · Fax (678) 335-9236
Phone(678) 335-9223
Fax(678) 335-9236
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
✔ NPI 1295829059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 060596
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2905 JORDAN CT STE G, Alpharetta, GA 30004
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Other Identifiers 3

Medicaid450094819EGA
Other202I164160Medicare Ptan
Other569399GA · Wellcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sowmya Reddy Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30004 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
78%83 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
77%873 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
48%893 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 676 patients
96%668 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Sowmya Reddy's NPI number?

The NPI number for Sowmya Reddy is 1295829059. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Sowmya Reddy located?

Sowmya Reddy practices at 2905 Jordan Ct Ste G, Alpharetta, GA 30004. The listed phone number is (678) 335-9223.

What is Sowmya Reddy's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sowmya Reddy enrolled in Medicare?

Yes. Sowmya Reddy is registered in the Medicare PECOS enrollment system.

What insurance does Sowmya Reddy 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 Sowmya 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.

When was this NPI record last updated?

The NPPES record for Sowmya Reddy was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.