DR SIRUVELLA MD PC
NPI 1447567631
Family Medicine in Monroe, GA

Active since September 09, 2010CLIA 11D2016456 · Waiver
705 BREEDLOVE DR, SUITE 800, MONROE, GA 30655(770) 266-0567 Get Directions Write a Review

NPPES record last updated: September 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr Siruvella Md Pc NPPES

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

DR SIRUVELLA MD PC (NPI 1447567631) is a healthcare organization registered as a family medicine in Monroe, Georgia and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Sridevi Siruvella, Medical Director/physician, as its authorized official.

NPPES Registry Identity

NPI1447567631
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDR SIRUVELLA MD PC
Location Address705 BREEDLOVE DR, SUITE 800Monroe, GA 30655-2090
Mailing Address705 Breedlove Dr, Suite 800Monroe, GA 30655-2090 · (770) 266-0567 · Fax (770) 266-0507
Organization SubpartNo
Authorized OfficialSridevi SiruvellaMedical Director/physician · (770) 266-0567
Enumeration DateSeptember 9, 2010
Last NPPES UpdateSeptember 10, 2010
NPI 1447567631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 057019
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
705 BREEDLOVE DR, Monroe, GA 30655

Other Identifiers 1

Other057019GA · State Medical License

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

Accepted Insurance

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 11D2016456

Dr Siruvella MD, PC · Monroe, GA
Active · expires Nov 17, 2026
CLIA Number11D2016456
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorSridevi Siruvella
Laboratory Phone(770) 266-0567
Laboratory LocationDr Siruvella MD, PC512 Great Oaks Drive, Monroe, GA 30655
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
705 BREEDLOVE DR, SUITE 100
MONROE, GA 30655
Family Medicine
705 BREEDLOVE DR, SUITE 800
MONROE, GA 30655
Family Medicine
705 BREEDLOVE DR, STE 100
MONROE, GA 30655
Internal Medicine
705 BREEDLOVE DR, SUITE 700
MONROE, GA 30655

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 Dr Siruvella MD PC's NPI number?

The NPI number for Dr Siruvella MD PC is 1447567631. It was assigned to this organization in the NPPES registry on September 9, 2010.

Where is Dr Siruvella MD PC located?

Dr Siruvella MD PC is located at 705 Breedlove Dr Suite 800, Monroe, GA 30655. The listed phone number is (770) 266-0567.

What is Dr Siruvella MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dr Siruvella MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2016456) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dr Siruvella MD PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dr Siruvella MD PC 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 Dr Siruvella MD PC was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.