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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUPRIYA IMMANENI, MD

Active

SUPRIYA IMMANENI, MD is a Obesity Medicine healthcare provider located in MACON, Georgia. NPI 1497129399 is currently active in the NPPES registry. Verify at CMS.

Obesity Medicine · MACON, GA

Registration Details

NPI Number
1497129399
Provider Type
Individual
Gender
Female
NPI Issued
Nov 17, 2015 (10.76450625377 yrs)
Last Updated
Jan 13, 2026
Licenses
95284 (GA)
95284 (GA)

Practice Information

Address
308 COLISEUM DR
ST 200
MACON, GA, 312173865
Browse GA providers · Browse ZIP 31217
Phone
4787422180
Primary Specialty
Obesity Medicine
207ND0101X
Additional Specialty
Obesity Medicine

Other Obesity Medicine Providers in MACON, GA

Name Credential NPI
DAVID E KENT MD 1194722850
DR. JUDAH NORMAN GREENBERG M.D. 1124288790
STEVEN KENT M.D. 1881127587
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.