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

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

Other providers in Augusta