Ramachandra R Paidi, M.D

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

049931 Issued in GA

Practice address

106 Queen St
Suite 1a
Vidalia, GA 30474-4210

Phone

(912) 537-6060

Fax

(912) 537-6020

NPI assigned

Oct 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194716282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750269",
            "telephone_number": "912-537-6060",
            "fax_number": "912-537-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 QUEEN ST",
            "address_2": "SUITE 1A",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744210",
            "telephone_number": "912-537-6060",
            "fax_number": "912-537-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIDI",
        "first_name": "RAMACHANDRA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "GA",
            "license": "049931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00980427A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction Psychiatry Physician in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Addiction Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.