Individual provider Active NPI

Rajasree Praturi, M.D.

  • Psychiatry Physician
  • Decatur, GA
National Provider Identifier
1114999257
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
049935 Issued in GA
Practice address
465 Winn Way Ste 221
Decatur, GA 30030-1723
Phone
(404) 292-3810
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 049935 GA Primary

Addresses

Primary practice location

465 Winn Way Ste 221
Decatur, GA 30030-1723

Mailing address

1731 Meriweather Dr
Ste 102
Bogart, GA 30622-3046
Phone (706) 227-7204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040630000158 GA Practitioner - Psychiatry 0749267615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Mountains Community ServicesGroup PAC ID 8921094400, 27 clinicians

Practice addresses (Care Compare)

915 Interstate Ridge Dr
Gainesville, GA 30501-7076
Phone (678) 207-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Mountains Community Services CurrentSince Oct 16, 2017 Accepting new patients
Advantage Behavioral Health Systems PastSince Nov 4, 2009 Accepting new patients

Locations

150A Johnson St
Dahlonega, GA 30533
Phone (706) 864-6822

915 Interstate Ridge Dr
Gainesville, GA 30501
Phone (516) 493-2203

915 Interstate Ridge Dr
Ste G
Gainesville, GA 30501
Phone (678) 207-1800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1114999257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 MERIWEATHER DR",
            "address_2": "STE 102",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306223046",
            "telephone_number": "706-227-7204",
            "fax_number": "706-227-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WINN WAY STE 221",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301723",
            "telephone_number": "404-292-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATURI",
        "first_name": "RAJASREE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "049935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.