Active NPI
Roshney Thomas Puthankalam, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- GAA-NP004346
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| GAA-NP004346 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Physician Group Inc | Current | Accepting new patients | |
| Volunteer Behavioral Health Care System | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1235455569
-
- Counselor
- Murfreesboro, TN
- NPI 1043267107
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.