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

Sridevi Venugopal

Individual provider Nurse Practitioner · NPI 1457129611

Sridevi Venugopal is a Nurse Practitioner in Fayetteville, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (770) 716-0051
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 677 Church St Ne, Marietta, GA 30060-1101 — (770) 793-5000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN235224 (GA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN235224 (GA)

Record details

NPI number1457129611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2023
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address3392 Clubland Dr, Marietta, GA 30068-2507

Other providers in Fayetteville