DR. JAYA VALLABHANENI D.D.S.
NPI 1407846793
Dentist - General Practice in Atlanta, GA

Active since October 26, 2005PECOS Enrolled
3273 SHALLOWFORD RD NE, ATLANTA, GA 30341(770) 455-0628(770) 451-7521 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jaya Vallabhaneni D.d.s. NPPES

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

DR. JAYA VALLABHANENI D.D.S. (NPI 1407846793) is an individual general practice provider in Atlanta, Georgia, licensed in Georgia (DN 012273) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407846793
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAYA VALLABHANENICredential: D.D.S.
Location Address3273 SHALLOWFORD RD NEAtlanta, GA 30341-3632
Mailing Address625 Saint Regis LnAlpharetta, GA 30022-1653 · (770) 993-1284
Fax(770) 451-7521
Sole ProprietorNo
Enumeration DateOctober 26, 2005
Last NPPES UpdateMarch 21, 2011
NPI 1407846793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN 012273
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3273 SHALLOWFORD RD NE, Atlanta, GA 30341

Other Identifiers 1

Medicaid853472301BGA

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 (PECOS)

Dr. Jaya Vallabhaneni D.d.s. 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 30341 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3273 SHALLOWFORD RD NE
CHAMBLEE, GA 30341
Dentist (General Practice)
3273 SHALLOWFORD RD NE
ATLANTA, GA 30341

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 Jaya Vallabhaneni's NPI number?

The NPI number for Jaya Vallabhaneni is 1407846793. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Jaya Vallabhaneni located?

Jaya Vallabhaneni practices at 3273 Shallowford Rd NE, Atlanta, GA 30341. The listed phone number is (770) 455-0628.

What is Jaya Vallabhaneni's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jaya Vallabhaneni enrolled in Medicare?

Yes. Jaya Vallabhaneni is registered in the Medicare PECOS enrollment system.

What insurance does Jaya Vallabhaneni accept?

Health plans from Humana list Jaya Vallabhaneni 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 Jaya Vallabhaneni was last updated on March 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.