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

Sudarshana Datta

Individual provider Interventional Cardiology Physician · NPI 1275096190

Sudarshana Datta is an Internal Medicine in Augusta, Georgia. Qualified in 2017, 9 years ago. Practices with Augusta Primary Care Services LLC, a 37-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2019

Practice location Address checks out

3623 J Dewey Gray Cir Ste 202
Augusta, GA 30909-6554
Phone: (706) 863-8155
Fax: (706) 863-8175
Show map & directions

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

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 104930 (GA)

Record details

NPI number1275096190
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address3623 J Dewey Gray Cir Ste 202, Augusta, GA 30909-6554

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Augusta Primary Care Services Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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