Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Rao Prasad Immaneni, M.D.

Pediatrics Physician in Statesboro, GA · enumerated 2006 · practices at South Georgia Pediatrics, P.C..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720196520

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Registry record

Entity type Individual (Type 1)

Name Rao Prasad Immaneni

Credential M.D.

Sex Male

Practice address Statesboro, GA, 30458

Phone (912) 489-5437

Fax (912) 489-5550

Enumeration date Aug 29, 2006

Last updated in NPPES May 11, 2009

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 044756 (GA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
000798377A	Other	GA	PEACH STATE ID
2263921	Other	GA	UNITED HEALTH CARE
598970	Other	GA	BLUE CROSS BLUE SHIELD
1917290	Other	GA	CCN/FIRST HEALTH
5261615	Other	GA	CIGNA
0007241193	Other	GA	AETNA
000798377A	Medicaid	GA	-
10057735	Other	GA	AMERIGROUP PROVIDER ID
336225	Other	GA	WELLCARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Rao Immaneni's NPI record?

Cross-check NPI 1720196520 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1720196520 active?

Yes, as of the latest NPPES snapshot, NPI 1720196520 is active (record last updated 2009-05-11).

Other providers at this practice address

Browse all →

South Georgia Pediatrics, P.C. Specialist · Statesboro, GA NPI 1578797627 Patricia Moore Family Nurse Practitioner · Statesboro, GA NPI 1356574206

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-11.