NPI age
19 years
Enumerated 2006-08-29
● Active
Type 1 · Individual
Rao Prasad Immaneni, M.D.
Immaneni is 1 of 17 pediatrics providers in Statesboro and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-05-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
1230 Brampton Ave
Statesboro, GA 304580849
Mailing address
Po Box 1039
Statesboro, GA 304591039
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 (GA) | 000798377A | PEACH STATE ID |
| 01 (GA) | 2263921 | UNITED HEALTH CARE |
| 01 (GA) | 598970 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 1917290 | CCN/FIRST HEALTH |
| 01 (GA) | 5261615 | CIGNA |
| 01 (GA) | 0007241193 | AETNA |
| 05 (GA) | 000798377A | |
| 01 (GA) | 10057735 | AMERIGROUP PROVIDER ID |
| 01 (GA) | 336225 | WELLCARE |
Practice context
Part of a multi-provider practice. 2 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 →
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