Individual provider Active NPI

Arun Anandrao Pol, M.D.

  • Psychiatry Physician
  • Duluth, GA
National Provider Identifier
1205015534
Registry record updated Nov 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
039907 Issued in GA
Practice address
6290 Abbotts Bridge Rd
Suite 502
Duluth, GA 30097-8495
Phone
(770) 623-8830
Fax
(770) 623-8846
NPI assigned
Nov 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2007

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 039907 GA Primary

Addresses

Primary practice location

6290 Abbotts Bridge Rd
Suite 502
Duluth, GA 30097-8495

Mailing address

6290 Abbotts Bridge Rd
Suite 502
Duluth, GA 30097-8495
Phone (770) 623-8830

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
I20041001000077 GA Practitioner - Psychiatry 7911976345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6290 Abbotts Bridge Rd
Suite 502
Duluth, GA 30097-5714

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039907GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arun a. Pol, MD, PC Psychiatry CurrentSince Jul 16, 2000 Accepting new patients

Locations

6290 Abbotts Bridge Rd
Ste 502
Johns Creek, GA 30097
Phone (770) 623-8830

Organizations & group practices 1

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": "1194048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194048000000",
    "number": "1205015534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 ABBOTTS BRIDGE RD",
            "address_2": "SUITE 502",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978495",
            "telephone_number": "770-623-8830",
            "fax_number": "770-623-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 ABBOTTS BRIDGE RD",
            "address_2": "SUITE 502",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978495",
            "telephone_number": "770-623-8830",
            "fax_number": "770-623-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POL",
        "first_name": "ARUN",
        "middle_name": "ANANDRAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-03",
        "last_updated": "2007-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "039907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.