Individual provider Active NPI

Ram K Puri, M.D.

  • Internal Medicine Physician
  • Milledgeville, GA
National Provider Identifier
1174518856
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
021573 Issued in GA
Practice address
1209 Columbia Dr
Milledgeville, GA 31061-2395
Phone
(478) 452-3200
Fax
(478) 452-1515
NPI assigned
Sep 19, 2005
Last updated
Mar 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 021573 GA Primary
Pulmonary Disease Physician 207RP1001X 021573 GA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 021573 GA

Addresses

Primary practice location

1209 Columbia Dr
Milledgeville, GA 31061-2395

Mailing address

1209 Columbia Dr
Milledgeville, GA 31061-2395
Phone (478) 452-3200

Other identifiers 1

IdentifierTypeStateIssuer
00209833GMedicaidGA

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
I20041201000369 GA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 4880659812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Georgia Chest and Medical Center, LLCGroup PAC ID 7618211822, 4 clinicians

Practice addresses (Care Compare)

1209 N Columbia Dr
Milledgeville, GA 31061-2395
Phone (478) 452-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021573GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Georgia Chest and Medical Center, LLC Internal Medicine CurrentSince Aug 8, 2018 Accepting new patients
Rural Health Services, Inc. Internal Medicine PastSince Jul 15, 2002 Accepting new patients

Locations

127 Main St
Gordon, GA 31031
Phone (478) 452-3200

1209 N Columbia Dr
Milledgeville, GA 31061
Phone (478) 452-3200

Interoperability endpoints

  • Direct secure messaging: ram.puri@mgcmc.gadirect.net
  • Direct secure messaging: ram.puri@nhb.gadirect.net
  • Direct secure messaging: ram.puri@oconeeregional.gadirect.net

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1174518856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 COLUMBIA DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612395",
            "telephone_number": "478-452-3200",
            "fax_number": "478-452-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 COLUMBIA DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612395",
            "telephone_number": "478-452-3200",
            "fax_number": "478-452-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "RAM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "021573",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "021573",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "021573",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00209833G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.