Organization Active NPI

Praveen Narahari MD PC

  • Psychiatry Physician
  • Madison, AL
National Provider Identifier
1245192202
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PRAVEEN NARAHARI MD PC
Practice address
103 Spenryn Dr
Madison, AL 35758-1891
Phone
(256) 871-5918
NPI assigned
Nov 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Praveen Narahari, MDNPI 1053549832
Title
President
Phone
(859) 979-2435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X

Addresses

Primary practice location

103 Spenryn Dr
Madison, AL 35758-1891

Mailing address

103 Spenryn Dr
Madison, AL 35758-1891
Phone (256) 871-5918

Other practice location 1

2807 W Mall Dr Ste A
Florence, AL 35630-1563
Phone (256) 871-5918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260417000147 AL Part B Supplier - Clinic/Group Practice 6608342696 Receives reassigned benefits from 4 practitioners
Practice locations: Florence, AL; Madison, AL; Hanceville, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2341786Praveen Narahari MD PC2807 W Mall Drive, Suite a, Florence, AL 35630Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory

Locations

2807 W Mall Dr
Ste A
Florence, AL 35630
Phone (256) 871-5918

103 Spenryn Dr
Madison, AL 35758
Phone (256) 642-6495

103 Spenryn Dr
Ste 124
Madison, AL 35758

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1245192202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581891",
            "telephone_number": "256-871-5918",
            "fax_number": "800-799-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581891",
            "telephone_number": "256-871-5918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2807 W Mall Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356301563",
            "country_code": "US",
            "telephone_number": "256-871-5918",
            "fax_number": "800-799-1637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRAVEEN NARAHARI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-28",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "NARAHARI",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-979-2435",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.