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MEDHUB
NPI 1912703166
Internal Medicine in Woodstock, GA

Active since February 19, 2025CLIA Certified · 2 labs
3203 S CHEROKEE LN STE 220, WOODSTOCK, GA 30188(770) 675-6025(770) 676-7814 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2025, Feb 19, 2025 (2 updates tracked since 2025).

About Medhub NPPES

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

MEDHUB (NPI 1912703166) is a healthcare organization registered as an internal medicine in Woodstock, Georgia and active in the NPI registry since February 2025. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Atlanta, and lists Ravindranath Nallamothu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912703166
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDHUB
Location Address3203 S CHEROKEE LN STE 220Woodstock, GA 30188-4461
Mailing Address3203 S Cherokee Ln Ste 220Woodstock, GA 30188-4461 · (770) 675-6025 · Fax (770) 676-7814
Phone(770) 675-6025
Fax(770) 676-7814
Organization SubpartNo
Authorized OfficialRavindranath NallamothuCeo · (770) 675-6025
Enumeration DateFebruary 19, 2025
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1912703166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
3203 S CHEROKEE LN STE 220, Woodstock, GA 30188
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Secondary Practice Location 1

Location 15835 Campbellton Rd SW Ste 201Atlanta, GA 30331-8014 · Phone (770) 675-6025

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medhub is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Medhub, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Srividya Koduru
Family Practice
NPI 1073804969
6325 HOSPITAL PKWY
Johns Creek, GA 30097
(678) 474-7038
✔ PECOS✔ Accepts Medicare17 mi
Naga Doddapaneni, M.D
Hospitalist
NPI 1477839983
6325 HOSPITAL PKWY EMORY JOHNS CREEK HOSPITAL
Johns Creek, GA 30097
(678) 474-7038
✔ PECOS✔ Accepts Medicare17 mi
Ravindranath Nallamothu, MD
Internal Medicine
NPI 1679724033
960 JOE FRANK HARRIS PKWY SE
Cartersville, GA 30120
(470) 490-2142
✔ PECOS✔ Accepts Medicare20 mi
Srikanth Paladugu, MD
Internal Medicine
NPI 1073805438
960 JOE FRANK HARRIS PKWY SE
Cartersville, GA 30120
(770) 382-1530
✔ PECOS✔ Accepts Medicare20 mi

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 2

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 11D2330157

Medhub · Atlanta, GA
Active · expires Sep 10, 2027
CLIA Number11D2330157
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorRavindranath Nallamothu
Laboratory Phone(404) 213-5696
Laboratory LocationMedhub5835 Campbellton Road SW, Suite 201, Atlanta, GA 30331
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2329551

Medhub · Woodstock, GA
Active · expires Aug 29, 2027
CLIA Number11D2329551
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorRavindranath Nallamothu
Laboratory Phone(402) 213-5696
Laboratory LocationMedhub3203 S Cherokee Lane, Suite 220, Woodstock, GA 30188
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Medhub's NPI number?

The NPI number for Medhub is 1912703166. It was assigned to this organization in the NPPES registry on February 19, 2025.

Where is Medhub located?

Medhub is located at 3203 S Cherokee Ln Ste 220, Woodstock, GA 30188. The listed phone number is (770) 675-6025.

What is Medhub's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Medhub enrolled in Medicare?

Yes. Medhub is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medhub?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Medhub, in Family Practice, Hospitalist and Internal Medicine. 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 Medhub hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Medhub was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.