Individual provider Active NPI

Rajendra P Paladugu, MD

  • Psychiatry Physician
  • Decatur, GA
National Provider Identifier
1285748640
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
74294 Issued in GA
Practice address
445 Winn Way
Decatur, GA 30030-1707
Phone
(404) 294-3745
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 23615 NE
Psychiatry Physician 2084P0800X 74294 GA Primary

Addresses

Primary practice location

445 Winn Way
Decatur, GA 30030-1707

Mailing address

445 Winn Way
Decatur, GA 30030-1707
Phone (404) 294-3745

Other identifiers 1

IdentifierTypeStateIssuer
10025382000MedicaidNE

Other names 1

  • Rajendra P Paladugu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101019000337 AL Practitioner - Psychiatry 1153327150 Reassigns benefits to 1 organization
I20220527000392 GA Practitioner - Psychiatry 1153327150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Health Care Authority of the City of EufaulaGroup PAC ID 9335407659, 19 clinicians

Practice addresses (Care Compare)

820 W Washington St
Eufaula, AL 36027-1899
Phone (334) 688-7000

Hospital & facility affiliations

  • Medical Center Barbour Hospital, Eufaula, AL, CCN 011307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23615NEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Care Authority of the City of Eufaula Current Accepting new patients
The Health Care Authority of the City of Eufaula CurrentSince Aug 28, 2018 Accepting new patients
The Health Care Authority of the City of Eufaula CurrentSince Aug 28, 2018 Accepting new patients
Americanwork, LLC CurrentSince Apr 1, 2022 Accepting new patients
Americanwork, LLC CurrentSince Apr 1, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients

Locations

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

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

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

Interoperability endpoints

  • Direct secure messaging: rpaladugu@yourcarecommunity.org
  • Direct secure messaging: rajendrapaladugu@tdh.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1285748640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301707",
            "telephone_number": "404-294-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301707",
            "telephone_number": "404-294-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALADUGU",
        "first_name": "RAJENDRA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "23615",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "74294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025382000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJENDRA",
            "last_name": "PALADUGU",
            "middle_name": "P",
            "credential": "M.D.,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.