NPI age
19 years
Enumerated 2007-05-24
● Active
Type 1 · Individual
DR. Anuradha Pavuluri, MD
Pavuluri is 1 of 77 pediatrics providers in MacOn and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
GA, NY, MI
3 states
Status
Active
No deactivations on record
Last NPPES update
2015-07-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
State licenses
3 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
777 Hemlock St, Msc 10
MacOn, GA 312012102
Mailing address
2490 Riverside Dr, Ste B
MacOn, GA 312041787
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | 1046519 | MCLAREN |
| 01 (MI) | 200000021987 | PHP COMMERCIAL |
| 01 (MI) | 1046518 | MCLAREN |
| 01 (GA) | 070401 | GA LICENSE |
| 01 (MI) | 3502900092 | BCBSM |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 448 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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