DR. NAGALAKSHMI CHARITHA SURYADEVARA (M.D.) – Family Medicine Physician, NPI 1609083344

DR. NAGALAKSHMI CHARITHA SURYADEVARA (M.D.) is a healthcare provider. based in Woodstock, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 058515 (GA). The NPI Number for DR. NAGALAKSHMI CHARITHA SURYADEVARA (M.D.) is 1609083344

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. NAGALAKSHMI CHARITHA SURYADEVARA (M.D.)
NPI
1609083344
Phone
(770) 592-3245
Address
517 BROOKESHYRE CT
Enumeration Date
16 May 2007
Last Update Date
26 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783120400
Graduation Year
1998 (28 years ago)
PAC ID
4587739990
Group Practice PAC ID
0648504894
Professional Enrollment ID
I20080820000164
Address ID
GA300468709LA665XXHWYX301

Contacts

Secure Messaging
NFMUC_Cumming@Northside.gwaydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,102 FAMILY PRACTICE in GA

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Provider Addresses for DR. NAGALAKSHMI CHARITHA SURYADEVARA (M.D.)

  • 517 BROOKESHYRE CT

    WOODSTOCK, GA 301883199

    Phone: (770) 592-3245

    Type: Mailing

  • Peachtree Road, Brookwood, Atlanta, Georgia, 30363, United States

    ATLANTA, GA 303091281

    Phone: (404) 605-3248

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-08-20

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
I20080820000164IFamily PracticeGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2423$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen1111$0
View full utilization report →

Insurance plans in this area (ZIP 30188)

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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: 0648504894View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineGA
Internal MedicineGA
-GA
Family PracticePA
Internal MedicineTX
Internal MedicineGA
Hospitalist, Internal MedicineGA
-GA
Family PracticeGA
Family PracticeGA

Reviews

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Frequently asked questions

Is there an official ID for DR. NAGALAKSHMI CHARITHA SURYADEVARA (M.D.) in U.S. healthcare records?
The official identifier for DR. NAGALAKSHMI CHARITHA SURYADEVARA (M.D.) is NPI 1609083344.
Would DR. NAGALAKSHMI CHARITHA SURYADEVARA (M.D.) appear as active to a payer?
You can treat DR. NAGALAKSHMI CHARITHA SURYADEVARA (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. NAGALAKSHMI CHARITHA SURYADEVARA (M.D.)'s focus?
For DR. NAGALAKSHMI CHARITHA SURYADEVARA (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is DR. NAGALAKSHMI CHARITHA SURYADEVARA (M.D.) registered?
Use Woodstock, Georgia as the headline location for DR. NAGALAKSHMI CHARITHA SURYADEVARA (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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