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

Priya Shiva Vishnubhotla, MD

Individual provider Hematology & Oncology Physician · NPI 1952393803

Priya Shiva Vishnubhotla, MD is an Internal Medicine in Conyers, Georgia. Qualified in 1998, 28 years ago. Practices with Piedmont Providers LLC, a 518-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Georgia.

Years since qualifying
28
Licensed in
FL, GA
In the registry since
2005
Specialties on file
2
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

1412 Milstead Ave NE Ste 300
Conyers, GA 30012-3877
Phone: (404) 918-2320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 70 W Gore St, Orlando, FL 32806-1124 — (407) 426-8484

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 95261 (GA)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence ME93654 (FL)

Record details

NPI number1952393803
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 17, 2005
Last updated in NPPESOctober 28, 2024
Certification dateOctober 22, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHEMATOLOGY, MEDICAL ONCOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Piedmont Providers Llc — 518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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