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

Keerthi Kiran Ponugoti, MD

Individual provider Internal Medicine Physician · NPI 1013228196

Keerthi Kiran Ponugoti, MD is a Pulmonary Disease in Thomasville, Georgia. Qualified in 2005, 21 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2010
Specialties on file
4
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

2705 E Pinetree Blvd Ste C
Thomasville, GA 31792-4875
Phone: (229) 584-5731
Fax: (229) 584-5941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 071394 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4449 (GA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 071394 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 071394 (GA)

Record details

NPI number1013228196
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2010
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS), EMERGENCY MEDICINE, INTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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