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

Dr. Prasanna Sampurna Srinagesh, MD

Individual provider Internal Medicine Physician · NPI 1104002666

Dr. Prasanna Sampurna Srinagesh, MD is a Nephrology in Waycross, Georgia. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Connecticut and Georgia.

Years since qualifying
15
Licensed in
CT, GA
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

220 Uvalda St
Waycross, GA 31501-4569
Phone: (912) 285-2053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 66648 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 046093 (CT)
Hospitalist Physician Taxonomy 208M00000X · Licence 046093 (CT)

Record details

NPI number1104002666
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 15, 2008
Last updated in NPPESNovember 7, 2012

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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