P Praxis·MD
● Active Type 1 · Individual

DR. Manoj Kumar Reddy Ambur, M.B.B.S

Radiology·Augusta, GA· NPI 1538397369 · Enumerated 2009 · 16 years on NPI
Ambur is 1 of 6 radiology providers in Augusta and 1 of 37 in Georgia.
NPI age
16 years
Enumerated 2009-07-01
Primary specialty
Radiology
Plus 5 subspecialties
Licensed in
GA, IA, KY, OH
4 states
Status
Active
No deactivations on record
Last NPPES update
2025-08-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 37 active radiology providers in Georgia.

NPI age
16 years
≈ at median (16 yr)
State licenses
4 states
Top 83% — 16% of peers are multi-state
Subspecialties
2
In the 51% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-07Enumerated in NPPES
2009 2026

Where they practice

Practice location
1120 15th St
Augusta, GA 309121007
📞 7067218623
Mailing address
1120 15th St
Augusta, GA 309120004
📞 7067218623

Specialties

  • Radiology Primary
    A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
    GA license #89014 taxonomy 2085N0700X
  • Neurological Surgery
    A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems,...
    IA license #R8499IA license #SP-207 taxonomy 207T00000X
  • Radiology
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #89014KY license #TP619OH license #35.154412 taxonomy 2085R0202X

Identifiers

TypeValueNotes
01 (GA) 89014 GA MEDICAL LICENSE
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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