MR. BETTADAPURA R MANJUNATH M.D.
NPI 1912925744
Internal Medicine - Geriatric Medicine in Augusta, GA

Q: What is Bettadapura Manjunath's NPI number?

The NPI number for Bettadapura Manjunath is 1912925744. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Bettadapura Manjunath's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since July 18, 2006

1 FREEDOM WAY, AUGUSTA, GA 30904(706) 733-0188(706) 731-7190 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Bettadapura R Manjunath M.d. NPPES

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

MR. BETTADAPURA R MANJUNATH M.D. (NPI 1912925744) is an individual geriatric medicine provider in Augusta, Georgia, licensed in Georgia (028816) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912925744

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameMR. BETTADAPURA R MANJUNATHCredential: M.D.

Location Address1 FREEDOM WAYAugusta, GA 30904-6258

Mailing Address4166 Heathcliff DrMartinez, GA 30907-1625 · (706) 863-3836

Phone(706) 733-0188

Fax(706) 731-7190

Sole ProprietorNo

Enumeration DateJuly 18, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1912925744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in GA · 028816

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License 028816 (GA)

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.

MRS. JOANN MCNAIR RPH

Pharmacist

1 FREEDOM WAY
AUGUSTA, GA 30904

Richmond County (706) 733-0188

MS. LISA MIXON JONES R.N.

Registered Nurse

1 FREEDOM WAY, # 31
AUGUSTA, GA 30904

Richmond County (706) 733-0188

MRS. DEBRA SERENDA JONES LMSW

Social Worker

1 FREEDOM WAY, UPTOWN DIVISION/CHARLIE NORWWOOD VA
AUGUSTA, GA 30904

Richmond County (706) 733-0188

DR. SONYA YVETTE MEDINA PH.D.

Psychologist (Clinical)

1 FREEDOM WAY
AUGUSTA, GA 30904

Richmond County (706) 733-0188

DR. PANKAJKUMAR NARAYANBHAI THAKKAR M.D.

Physical Medicine & Rehabilitation

1 FREEDOM WAY
AUGUSTA, GA 30904

Richmond County (706) 733-0188

DR. EDWARD KURT LEAHY

Anesthesiology

1 FREEDOM WAY
AUGUSTA, GA 30904

Richmond County (706) 733-0188

AMANDA PETRO MSR, OTR/L

Occupational Therapist

1 FREEDOM WAY
AUGUSTA, GA 30904

Richmond County (706) 733-0188

AMIE ELIZABETH SQUIRES MD

Ophthalmology

1 FREEDOM WAY
AUGUSTA, GA 30904

Richmond County (706) 733-0188

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 Bettadapura Manjunath's NPI number?

The NPI number for Bettadapura Manjunath is 1912925744. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Bettadapura Manjunath located?

Bettadapura Manjunath practices at 1 Freedom Way, Augusta, GA 30904. The listed phone number is (706) 733-0188.

What is Bettadapura Manjunath's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Bettadapura Manjunath was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.