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RAO PRASAD IMMANENI M.D.
NPI 1720196520
Pediatrics in Statesboro, GA

Active since August 29, 2006
1230 BRAMPTON AVE, STATESBORO, GA 30458(912) 489-5437(912) 489-5550 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rao Prasad Immaneni M.d. NPPES

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

RAO PRASAD IMMANENI M.D. (NPI 1720196520) is an individual pediatrics provider in Statesboro, Georgia, licensed in Georgia (044756) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1720196520
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRAO PRASAD IMMANENICredential: M.D.
Location Address1230 BRAMPTON AVEStatesboro, GA 30458-0849
Mailing AddressPo Box 1039Statesboro, GA 30459-1039 · (912) 489-5437 · Fax (912) 489-5550
Phone(912) 489-5437
Fax(912) 489-5550
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateMay 11, 2009
✔ NPI 1720196520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 044756
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1230 BRAMPTON AVE, Statesboro, GA 30458
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Other Identifiers 12

Other000798377AGA · Peach State Id
Medicare ID-Type Unspecified37BBGKVGA · Individual Medicare Id
Other336225GA · Wellcare
Other598970GA · Blue Cross Blue Shield
Other0007241193GA · Aetna
Other1917290GA · Ccn/first Health
Medicaid000798377AGA
Other10057735GA · Amerigroup Provider Id
Medicare ID-Type UnspecifiedGRP3032GA · Medicare Group #
Other2263921GA · United Health Care
Other5261615GA · Cigna
Medicare UPINH80570GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

PATRICIA MOORE FNP-BC, APRN
Nurse Practitioner (Family)
1230 BRAMPTON AVE
STATESBORO, GA 30458
Bulloch County (912) 489-5437
SOUTH GEORGIA PEDIATRICS, P.C.
Specialist
1230 BRAMPTON AVE
STATESBORO, GA 30458
Bulloch County (912) 489-5437

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 Rao Immaneni's NPI number?

The NPI number for Rao Immaneni is 1720196520. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Rao Immaneni located?

Rao Immaneni practices at 1230 Brampton Ave, Statesboro, GA 30458. The listed phone number is (912) 489-5437.

What is Rao Immaneni's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Rao Immaneni accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Rao Immaneni 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 Rao Immaneni was last updated on May 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.