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

Individual provider Internal Medicine Physician · NPI 1003304619

Bannur Ramanna Nandeesh is an Internal Medicine in Athens, Georgia. Qualified in 2004, 22 years ago. Practices with 24 on Physicians PC, a 276-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1199 Prince Ave
Athens, GA 30606-2797
Phone: (706) 475-5076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1270 Prince Ave Ste 201, Athens, GA 30606-2789 — (706) 475-7055

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 89427 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 89427 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003304619
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2018
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice 24 On Physicians Pc — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Athens