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

Srividya Koduru

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1073804969

Srividya Koduru is a Family Practice in Johns Creek, Georgia. Qualified in 2002, 24 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
24
Licensed in
GA
In the registry since
2011
Specialties on file
5

Practice location Address checks out

6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Phone: (678) 474-7038
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 73185 (GA)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 73185 (GA)
Hospitalist Physician Taxonomy 208M00000X · Licence 073185 (GA)
Obesity Medicine (Family Medicine) Physician Taxonomy 207QB0002X · Licence 73185 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073804969
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 26, 2011
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address6325 Hospital Pkwy, Johns Creek, GA 30097-5775

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johns Creek