Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Akhil Vallabhaneni, MD

Individual provider Pulmonary Disease Physician · NPI 1164600623

Akhil Vallabhaneni, MD is a Pulmonary Disease in Canton, Georgia. Graduated from Pennsylvania State University College of Medicine in 2011, 15 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group and accepts Medicare assignment. Licensed in Georgia and Oregon.

Years since qualifying
15
Trained at
Pennsylvania State University College of Medicine
Licensed in
GA, OR
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

460 Northside Cherokee Blvd Ste 130
Canton, GA 30115-8017
Phone: (678) 493-2527
Fax: (678) 493-5608
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 076513 (GA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence MD153603 (OR)

Record details

NPI number1164600623
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2008
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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