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

Haritha Sishtla

Individual provider Gynecology Physician · NPI 1124412002

Haritha Sishtla is an Obstetrics/Gynecology in Atlanta, Georgia. Qualified in 2015, 11 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2015
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Practice location Address checks out

960 Johnson Fy Rd NE Ste 400
Atlanta, GA 30342-4771
Phone: (404) 257-0170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 92948 (GA)

Record details

NPI number1124412002
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2015
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing address960 Johnson Fy Rd Ne Ste 400, Atlanta, GA 30342-4771

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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