Individual provider Active NPI

Roshney Thomas Puthankalam, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1225878457
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
GAA-NP004346 Issued in GA
Practice address
1503 Professional CT
Dalton, GA 30720-2566
Phone
(706) 281-8490
Fax
(706) 529-8487
NPI assigned
May 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 35848 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X GAA-NP004346 GA Primary

Addresses

Primary practice location

1503 Professional CT
Dalton, GA 30720-2566

Mailing address

1503 Professional CT
Dalton, GA 30720-2566
Phone (706) 281-8490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240822000439 TN Practitioner - Nurse Practitioner 7911446935
I20260323002991 GA Practitioner - Nurse Practitioner 7911446935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hamilton Physician Group, IncGroup PAC ID 4789708553, 120 clinicians

Practice addresses (Care Compare)

1109 Burleyson Rd
Suite 104
Dalton, GA 30720-3094
Phone (706) 281-8490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GAA-NP004346GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc CurrentSince Mar 1, 2026 Accepting new patients
Volunteer Behavioral Health Care System CurrentSince Jun 14, 2024 Accepting new patients

Locations

215 Curtis Pkwy NE
Calhoun, GA 30701
Phone (706) 226-3434

1109 Burleyson Rd
Ste 104
Dalton, GA 30720
Phone (706) 278-5961

1503 Professional Ct
Dalton, GA 30720
Phone (706) 281-2121

1805 Ingleside Ave
Athens, TN 37303
Phone (423) 745-3367

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

940 S Ocoee St
Cleveland, TN 37311
Phone (423) 479-5454

1200 S Willow Ave
Cookeville, TN 38506
Phone (931) 432-0890

4325 Highway 127 N
Crossville, TN 38571
Phone (931) 484-8020

7200 Rhea County Hwy
Dayton, TN 37321
Phone (423) 570-0077

121 Fredonia Rd
Dunlap, TN 37327
Phone (423) 949-8464

133 Indian Lake Rd
Hendersonvlle, TN 37075
Phone (615) 824-5801

101 Bratton Ave
Lafayette, TN 37083
Phone (615) 666-8070

1404 Winter Dr
Lebanon, TN 37087
Phone (615) 444-4300

501 Spruce St
Livingston, TN 38570
Phone (931) 823-5678

520 Cook St
Ste I
Madisonville, TN 37354
Phone (865) 374-7100

120 Omni Dr
McMinnville, TN 37110
Phone (931) 473-1066

1504 Williams Dr
Murfreesboro, TN 37129
Phone (615) 278-2241

450 S Chamberlain Ave
Rockwood, TN 37854
Phone (865) 354-3100

131 Mayfield Dr
Smyrna, TN 37167
Phone (615) 459-9251

14399 US 41
Ste 120
Tracy City, TN 37387
Phone (931) 473-9649

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

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": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1225878457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 PROFESSIONAL CT",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202566",
            "telephone_number": "706-281-8490",
            "fax_number": "706-529-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 PROFESSIONAL CT",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202566",
            "telephone_number": "706-281-8490",
            "fax_number": "706-529-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTHANKALAM",
        "first_name": "ROSHNEY",
        "middle_name": "THOMAS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "35848",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "GAA-NP004346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.