DR. NISHA POLAVARAPU M.D.
NPI 1588084404
Pediatrics - Pediatric Emergency Medicine in Atlanta, GA

Active since April 17, 2014PECOS EnrolledAccepts Medicare Assignment
1001 JOHNSON FERRY RD, ATLANTA, GA 30342(404) 785-2273(404) 785-5846 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2026, May 15, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Nisha Polavarapu M.d. NPPES

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

DR. NISHA POLAVARAPU M.D. (NPI 1588084404) is an individual pediatric emergency medicine provider in Atlanta, Georgia, licensed in Georgia (101283) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hackensack, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1588084404
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. NISHA POLAVARAPUCredential: M.D.
Location Address1001 JOHNSON FERRY RDAtlanta, GA 30342-1605
Mailing Address30 Prospect AveHackensack, NJ 07601-1915
Fax(404) 785-5846
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 17, 2014
Last NPPES UpdateJanuary 29, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1588084404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in GA · 101283✔ Licensed in NJ · 25MA10830300
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 101283 (GA)
1001 JOHNSON FERRY RD, Atlanta, GA 30342

Secondary Practice Location 1

Location 130 Prospect AveHackensack, NJ 07601-1915 · Phone (551) 996-4421

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nisha Polavarapu M.d. 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 ID5092086090
PECOS Enrollment IDI20250326003560
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 Nisha Polavarapu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Georgia enrollment
  • 330 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 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.

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.

Nurse Practitioner (Pediatrics)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Physician Assistant
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Nurse Practitioner (Pediatrics)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Emergency Medicine (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Emergency Medicine
1001 JOHNSON FERRY RD
SANDY SPRINGS, GA 30342
Pediatrics (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FERRY RD, SCOTTISH RITE DEPT OF ANES
ATLANTA, GA 30342
Internal Medicine (Cardiovascular Disease)
1001 JOHNSON FERRY RD, 1532 TULANE AVENUE
ATLANTA, GA 30342

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 Nisha Polavarapu's NPI number?

The NPI number for Nisha Polavarapu is 1588084404. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Nisha Polavarapu located?

Nisha Polavarapu practices at 1001 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 785-2273.

What is Nisha Polavarapu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Nisha Polavarapu enrolled in Medicare?

Yes. Nisha Polavarapu 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.

Which organizations bill Medicare for Nisha Polavarapu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Polavarapu reassigns Medicare benefits to 2 organizations: Emergency Coverage, LLC (Newport, TN) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 Nisha Polavarapu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nisha Polavarapu accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Nisha Polavarapu 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 Nisha Polavarapu was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.