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

Individual provider Family Medicine Physician · NPI 1124382536

Sudheer Tangella, MD is a Family Practice in Jackson, Mississippi. Qualified in 2006, 20 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
20
Licensed in
MS
In the registry since
2012
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

878 Lakeland Dr
Jackson, MS 39216-4644
Phone: (601) 984-6800
Fax: (601) 984-6811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 836-L (MS)

Record details

NPI number1124382536
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2012
Last updated in NPPESJune 29, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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