Individual provider Active NPI

Ajai Kalla, M.D.

  • Psychiatry Physician
  • Augusta, GA
National Provider Identifier
1245327998
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
051880 Issued in GA
Practice address
3405 Mike Padgett Hwy
Augusta, GA 30906-3815
Phone
(706) 792-2021
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 051880 GA Primary

Addresses

Primary practice location

3405 Mike Padgett Hwy
Augusta, GA 30906-3815

Mailing address

3405 Mike Padgett Hwy
Augusta, GA 30906-3815
Phone (706) 792-2021

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
I20040810000057 GA Practitioner - Psychiatry 7911979091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3405 Mike Padgett Hwy
Augusta, GA 30906-3815
Phone (705) 790-2030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051880GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Americanwork, LLC CurrentSince Aug 1, 2016 Accepting new patients
Americanwork, LLC Current Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Mar 6, 2010 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Mar 6, 2010 Accepting new patients

Locations

1727 Wrightsboro Rd
Ste B
Augusta, GA 30904
Phone (706) 736-8170

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

421 12th St
Columbus, GA 31901
Phone (706) 494-7776

836 E 65th St
Ste 42
Savannah, GA 31405
Phone (912) 354-5780

Organizations & group practices 5

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245327998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 MIKE PADGETT HWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309063815",
            "telephone_number": "706-792-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 MIKE PADGETT HWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309063815",
            "telephone_number": "706-792-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLA",
        "first_name": "AJAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "051880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.