RAVEENA REDDY
NPI 1760808109
Pathology - Anatomic Pathology & Clinical Pathology in Jackson, MS
About Raveena Reddy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAVEENA REDDY (NPI 1760808109) is an individual anatomic pathology & clinical pathology provider in Jackson, Mississippi, licensed in Georgia (74333) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
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
Raveena Reddy 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.
Medicare Billing Reassignments
2Medicare enrollment records show Raveena Reddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, GA 30132
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 9 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.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Kennestone Regional Medical Center
Acute Care Hospitals · Marietta, GAWellstar Cobb Medical Center
Acute Care Hospitals · Austell, GAWellstar North Fulton Hospital
Acute Care Hospitals · Roswell, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 Raveena Reddy's NPI number?
The NPI number for Raveena Reddy is 1760808109. It was assigned to this individual provider in the NPPES registry on March 10, 2014.
Where is Raveena Reddy located?
Raveena Reddy practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1540.
What is Raveena Reddy's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Raveena Reddy enrolled in Medicare?
Yes. Raveena 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.
Which organizations bill Medicare for Raveena Reddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raveena Reddy reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Dallas, GA) and Physicians's Professional Laboratory, P.C. (Atlanta, GA). 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 Raveena Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raveena Reddy accept?
Health plans from Oscar Health list Raveena 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 Raveena Reddy affiliated with any hospitals?
According to CMS data, Raveena Reddy is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Cobb Medical Center and Wellstar North Fulton Hospital.
When was this NPI record last updated?
The NPPES record for Raveena Reddy was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Raveena Reddy · NPI 1760808109
Anatomic Pathology & Clinical Pathology physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since March 10, 2014.
## Identity
- **NPI:** 1760808109 (Entity type: Individual)
- **Enumerated:** March 10, 2014
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 74333 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-1540
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wellstar Medical Group, LLC (NPI 1063790350, Dallas, GA); Physicians's Professional Laboratory, P.C. (NPI 1982774055, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** September 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1760808109) · Data from the CMS NPPES public registry.