SWARNA REDDY MD
NPI 1528044583
Psychiatry & Neurology - Psychiatry in Johnson City, TN

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-7111 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Swarna Reddy Md NPPES

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

SWARNA REDDY MD (NPI 1528044583) is an individual psychiatry provider in Johnson City, Tennessee, licensed in Virginia (0101236578) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Russell County Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528044583
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSWARNA REDDYCredential: MD
Location Address403 N STATE OF FRANKLIN RDJohnson City, TN 37604-6034
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111 · Fax (423) 282-1657
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateDecember 21, 2005
Last NPPES UpdateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
NPI 1528044583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in VA · 0101236578 Licensed in TN · 61952
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
403 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Secondary Practice Locations 2

Location 171 S Flannagan AveLebanon, VA 24266-4575 · Phone (276) 415-9160
Location 28680 Hospital WayManassas, VA 20110-4287 · Phone (703) 369-8464 ext. 2 · Fax (703) 369-8467

Other Identifiers 1

Medicaid1528044583VA

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 and accepts Medicare assignment

Swarna Reddy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496711830
PECOS Enrollment IDI20041207000751, I20201207000051
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Russell County Hospital

Acute Care Hospitals · Lebanon, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490002
Location58 Carroll StreetLebanon, VA 24266 · Russell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 20

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

Psychiatric Unit
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Counselor (Professional)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Psychiatric/Mental Health)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner (Psychiatric/Mental Health)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

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 Swarna Reddy's NPI number?

The NPI number for Swarna Reddy is 1528044583. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Swarna Reddy located?

Swarna Reddy practices at 403 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 431-7111.

What is Swarna Reddy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Swarna Reddy enrolled in Medicare?

Yes. Swarna Reddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Swarna Reddy accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Swarna Reddy 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.

Is Swarna Reddy affiliated with any hospitals?

According to CMS data, Swarna Reddy is affiliated with Russell County Hospital.

When was this NPI record last updated?

The NPPES record for Swarna Reddy was last updated on September 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.