JITHENDER REDDY (M.D.) – Psychiatry Physician, NPI 1114955457

JITHENDER REDDY (M.D.) is a healthcare provider. based in Carrollton, Georgia. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 26715 (SC). The NPI Number for JITHENDER REDDY (M.D.) is 1114955457

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
JITHENDER REDDY (M.D.)
NPI
1114955457
Phone
(770) 838-8710
Address
119 AMBULANCE DR
Enumeration Date
28 June 2006
Last Update Date
27 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7708366678
Graduation Year
1994 (32 years ago)
PAC ID
4284605593
Group Practice PAC ID
5193712073
Professional Enrollment ID
I20101103000997
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

832 PSYCHIATRY in GA

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Provider Addresses for JITHENDER REDDY (M.D.)

  • 119, Ambulance Drive, Carrollton, Carroll County, Georgia, 30117, United States

    SUITE 202

    CARROLLTON, GA 301173857

    Phone: (770) 838-8710

    Fax: (770) 838-8563

    Type: Mailing

  • 523, Dixie Street, Carrollton, Carroll County, Georgia, 30117, United States

    SUITE 3

    CARROLLTON, GA 301173870

    Phone: (770) 456-3722

    Fax: (770) 456-3785

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Indivior Inc. ($75).

Total Amount

$148

General + Research + Ownership

Payments

7

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101103000997IPsychiatryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1914$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 30117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193712073View full group profile
NameSpecialtyState
Nurse PractitionerNC
P S Y C H I A T R YMO
P S Y C H I A T R YAL
-GA
Mental Health CounselorGA
Physician AssistantGA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Mental Health CounselorGA

Reviews

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Frequently asked questions

Is there an official ID for JITHENDER REDDY (M.D.) in U.S. healthcare records?
The official identifier for JITHENDER REDDY (M.D.) is NPI 1114955457.
Active or inactive — what applies to JITHENDER REDDY (M.D.)?
You should see JITHENDER REDDY (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to JITHENDER REDDY (M.D.)?
JITHENDER REDDY (M.D.)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is JITHENDER REDDY (M.D.) located near Carrollton?
JITHENDER REDDY (M.D.) currently maps to Carrollton, Georgia in this extract.
When was this NPI issued?
Enumeration for JITHENDER REDDY (M.D.) is noted as June 28, 2006 where the registry provides it.

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