Rakesh Kumar, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22807 Issued in GA

Practice address

123 Sparta Hwy
Eatonton, GA 31024-6093

Phone

(706) 485-2621

Fax

(706) 485-9354

NPI assigned

Aug 22, 2005

Last updated

Oct 29, 2007By the provider in NPPES

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 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Rakesh Kumar MD PC

  • General Practice Physician
  • Eatonton, GA
  • NPI 1477733491
  Authorized official Same address or phone

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1205828696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4150",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310244150",
            "telephone_number": "706-485-2621",
            "fax_number": "706-485-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SPARTA HWY",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310246093",
            "telephone_number": "706-485-2621",
            "fax_number": "706-485-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "RAKESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "22807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00229226A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GA",
            "identifier": "017280",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RAILROAD",
            "identifier": "020000895",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Young Phillips, MD, PC
• Kingdom C & M Devices Inc.
• Brittney Knowlton, DC
• Whitney Knowlton, PA
• Ajay Kumar, M.D.
• Lake Country Family Chiropractic LLC
• Lake Country Language and Literacy LLC
• Lake Country Pharmacy LLC (Lake Country Compounding & Wellness)
• Lake Country Physical Therapy LLC
• Lake Oconee Medical Associates LLC

• Family Medicine Physician in Eatonton, GA
• Providers in Eatonton, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.