DR. SWAROOP NYSHADHAM M.D.
NPI 1306892351
General Practice in Lagrange, GA

Active since May 25, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 11D2069049 · Waiver
1990 LUKKEN INDUSTRIAL DR W, SUITE C, LAGRANGE, GA 30240(706) 883-8787 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Swaroop Nyshadham M.d. NPPES

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

DR. SWAROOP NYSHADHAM M.D. (NPI 1306892351) is an individual general practice provider in Lagrange, Georgia, licensed in Georgia (031483) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 17, 2027, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1306892351
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. SWAROOP NYSHADHAMCredential: M.D.
Location Address1990 LUKKEN INDUSTRIAL DR W, SUITE CLagrange, GA 30240-1404
Mailing Address103 Crestview RdWest Point, GA 31833-5221 · (706) 883-8787
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateMay 25, 2006
Last NPPES UpdateFebruary 21, 2013
NPI 1306892351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in GA · 031483
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License 00013121 (AL), ME 49553 (FL)
1990 LUKKEN INDUSTRIAL DR W, Lagrange, GA 30240

Other Identifiers 2

Medicare UPINC70924GA
Medicaid000338357HGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Swaroop Nyshadham M.d. 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.

PECOS PAC ID1658310982
PECOS Enrollment IDI20050427000183
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2069049

Swaroop N Nyshaoham · Lagrange, GA
Active · expires Nov 17, 2027
CLIA Number11D2069049
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorDr. Swaaoop N. Nyshadham
Laboratory Phone(706) 883-8787
Laboratory LocationSwaroop N Nyshaoham1990 Lukken Industrial Drive, West, Suite C, Lagrange, GA 30240
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
120 services26 patients

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 Swaroop Nyshadham's NPI number?

The NPI number for Swaroop Nyshadham is 1306892351. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Swaroop Nyshadham located?

Swaroop Nyshadham practices at 1990 Lukken Industrial Dr W Suite C, Lagrange, GA 30240. The listed phone number is (706) 883-8787.

What is Swaroop Nyshadham's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Swaroop Nyshadham enrolled in Medicare?

Yes. Swaroop Nyshadham 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.

Does Swaroop Nyshadham hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2069049) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Swaroop Nyshadham accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Swaroop Nyshadham 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 Swaroop Nyshadham was last updated on February 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.