Provider Demographics
NPI:1720133325
Name:VAYALAPALLI, SREEDEVI (MD)
Entity type:Individual
Prefix:
First Name:SREEDEVI
Middle Name:
Last Name:VAYALAPALLI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 SCALES RD STE 302
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4342
Mailing Address - Country:US
Mailing Address - Phone:404-994-5000
Mailing Address - Fax:888-264-8367
Practice Address - Street 1:950 SCALES RD STE 302
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4342
Practice Address - Country:US
Practice Address - Phone:404-994-5000
Practice Address - Fax:888-264-8367
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003180101YM0800X, 103T00000X, 101YA0400X, 103TP0814X
GA0592262084A0401X, 2084P0800X
GA681482084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202G708755Medicare UPIN