DR SIRUVELLA MD PC
NPI 1447567631
Family Medicine in Monroe, GA
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr Siruvella Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Siruvella MD PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 11D2016456
Dr Siruvella MD, PC · Monroe, GAFrequently 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.
Is Dr Siruvella MD PC enrolled in Medicare?
Yes. Dr Siruvella MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr Siruvella MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dr Siruvella MD PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 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.
# Dr Siruvella Md Pc · NPI 1447567631
Family Medicine organization in Monroe, Georgia. Organization record, active in the CMS NPPES registry since September 9, 2010.
## Identity
- **NPI:** 1447567631 (Entity type: Organization)
- **Enumerated:** September 9, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Sridevi Siruvella, MEDICAL DIRECTOR/PHYSICIAN
## Practice location
- **Address:** 705 BREEDLOVE DR, SUITE 800, Monroe, GA 30655-2090
- **Phone:** (770) 266-0567
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2010
- **Other identifiers:** Other 057019 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447567631) · Data from the CMS NPPES public registry.