Individual provider Active NPI

Ramya Nagarajan Rangaraj, M.D.

  • Interventional Pain Medicine Physician
  • Cumming, GA
National Provider Identifier
1184823650
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
64680 Issued in GA
Practice address
4415 Front Nine Dr Ste 700
Cumming, GA 30041-6239
Phone
(678) 456-8782
Fax
(678) 456-8814
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 64680 GA
Physical Medicine & Rehabilitation Physician 208100000X 4301090209 MI
Pain Medicine Physician 208VP0000X 64680 GA
Interventional Pain Medicine Physician 208VP0014X 64680 GA Primary

Addresses

Primary practice location

4415 Front Nine Dr Ste 700
Cumming, GA 30041-6239

Mailing address

4415 Front Nine Dr Ste 700
Cumming, GA 30041-6239
Phone (678) 456-8782

Other names 1

  • Ramya Nagarajan Former name

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
I20110803000191 GA Practitioner - Physical Medicine and Rehabilitation 1557530888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4415 Front Nine Dr
Suite 700
Cumming, GA 30041-6239
Phone (614) 905-2700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301090209MIMDPhysical Medicine & Rehabilitation Physician
64680GAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Spine and Pain Center Interventional Pain Medicine CurrentSince Nov 1, 2020 Accepting new patients
Center for Spine & Pain Medicine, PC Current Accepting new patients

Locations

4415 Front Nine Dr
Ste 700
Cumming, GA 30041
Phone (614) 905-2700

4415 Front Nine Dr
Ste 600
Cumming, GA 30041
Phone (678) 456-8463

1413 Chattanooga Ave
Dalton, GA 30720
Phone (706) 279-2635

14 Sammy McGhee Blvd
Ste 203
Jasper, GA 30143
Phone (678) 456-8782

14 Sammy McGhee Blvd
Ste 204
Jasper, GA 30143
Phone (706) 253-3842

12 Sammy McGhee Blvd
Ste 204
Jasper, GA 30143
Phone (706) 301-1016

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1184823650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 FRONT NINE DR STE 700",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416239",
            "telephone_number": "678-456-8782",
            "fax_number": "678-456-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 FRONT NINE DR STE 700",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416239",
            "telephone_number": "678-456-8782",
            "fax_number": "678-456-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGARAJ",
        "first_name": "RAMYA",
        "middle_name": "NAGARAJAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2024-01-11",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "64680",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301090209",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "64680",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "64680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMYA",
            "last_name": "NAGARAJAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.