DR. LALITHA SIVASWAMY MD
NPI 1427095082
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Macon, GA

Active since June 01, 2006PECOS Enrolled
1014 FORSYTH ST STE 360, MACON, GA 31201(248) 895-3518 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2025, Feb 26, 2025 (2 updates tracked since 2025).

About Dr. Lalitha Sivaswamy Md NPPES

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

DR. LALITHA SIVASWAMY MD (NPI 1427095082) is an individual neurology with special qualifications in child neurology provider in Macon, Georgia, licensed in Georgia (103139) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427095082
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameDR. LALITHA SIVASWAMYCredential: MD
Location Address1014 FORSYTH ST STE 360Macon, GA 31201-2051
Mailing Address1014 Forsyth St Ste 360Macon, GA 31201-2051 · (248) 895-3518
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1427095082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in GA · 103139
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
1014 FORSYTH ST STE 360, Macon, GA 31201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lalitha Sivaswamy 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lalitha Sivaswamy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 483 clinicians in this Medicare group
Nurse Practitioner
3901 BEAUBIEN
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 360 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lalitha Sivaswamy's NPI number?

The NPI number for Lalitha Sivaswamy is 1427095082. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Lalitha Sivaswamy located?

Lalitha Sivaswamy practices at 1014 Forsyth St Ste 360, Macon, GA 31201. The listed phone number is (248) 895-3518.

What is Lalitha Sivaswamy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Lalitha Sivaswamy enrolled in Medicare?

Yes. Lalitha Sivaswamy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lalitha Sivaswamy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lalitha Sivaswamy reassigns Medicare benefits to 2 organizations: Health Services Of Central Georgia, Inc (Macon, GA) and University Pediatricians (Detroit, MI). 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 Lalitha Sivaswamy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lalitha Sivaswamy accept?

Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Lalitha Sivaswamy 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 Lalitha Sivaswamy was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.