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SREEROOPSEN M.D. LLC
NPI 1306904438
Internal Medicine in Hartwell, GA

Active since December 04, 2006CLIA 11D0993608 · Waiver
77 W GIBSON ST, HARTWELL, GA 30643(706) 856-6973(706) 856-6976 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sreeroopsen M.d. Llc NPPES

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

SREEROOPSEN M.D. LLC (NPI 1306904438) is a healthcare organization registered as an internal medicine in Hartwell, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Mary Sue Holcombe, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306904438
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSREEROOPSEN M.D. LLC
Location Address77 W GIBSON STHartwell, GA 30643-1845
Mailing Address77 W Gibson StHartwell, GA 30643-1845 · (706) 856-6973 · Fax (706) 856-6976
Phone(706) 856-6973
Fax(706) 856-6976
Organization SubpartNo
Authorized OfficialMary Sue HolcombeOffice Manager · (706) 856-6973
Enumeration DateDecember 4, 2006
Last NPPES UpdateFebruary 22, 2010
✔ NPI 1306904438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
77 W GIBSON ST, Hartwell, GA 30643
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Other Identifiers 1

Medicare ID-Type UnspecifiedGRP4369GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sreeroopsen M.d. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Sreeroopsen M.D. LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Anna Anderson
Nurse Practitioner
NPI 1114888690
77 W GIBSON ST
Hartwell, GA 30643
(706) 856-6973
✔ PECOS✔ Accepts MedicareSame address
Kimberly Cawthon, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1992466122
77 W GIBSON ST
Hartwell, GA 30643
(706) 856-6973
✔ PECOS✔ Accepts Medicare0.2 mi
Sonya Elrod, FNP
Nurse Practitioner
NPI 1891347381
77 W GIBSON ST
Hartwell, GA 30643
(706) 856-6973
✔ PECOS✔ Accepts Medicare0.2 mi
Sreeroop Sen, M.D.
Internal Medicine
NPI 1477537819
77 W GIBSON ST
Hartwell, GA 30643
(706) 856-6973
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D0993608

Sreeroop Sen MD, LLC · Hartwell, GA
Active · expires Jan 30, 2027
CLIA Number11D0993608
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorSreeroop Sen
Laboratory Phone(706) 856-6973
Laboratory LocationSreeroop Sen MD, LLC77 West Gibson Street, Hartwell, GA 30643
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sreeroopsen M.D. LLC's NPI number?

The NPI number for Sreeroopsen M.D. LLC is 1306904438. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Sreeroopsen M.D. LLC located?

Sreeroopsen M.D. LLC is located at 77 W Gibson St, Hartwell, GA 30643. The listed phone number is (706) 856-6973.

What is Sreeroopsen M.D. LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sreeroopsen M.D. LLC enrolled in Medicare?

Yes. Sreeroopsen M.D. LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sreeroopsen M.D. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Sreeroopsen M.D. LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sreeroopsen M.D. LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0993608) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sreeroopsen M.D. LLC was last updated on February 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.