Ayyagari Indiradevi, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

AI11119 Issued in TN

Practice address

6911 Parkwood Dr
Olive Branch, MS 38654-2111

Phone

(901) 461-1162

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul King MD PC

  • Psychiatry Physician
  • Olive Branch, MS
  • NPI 1649362518
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316058399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341065",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381841065",
            "telephone_number": "901-385-2342",
            "fax_number": "901-382-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 PARKWOOD DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542111",
            "telephone_number": "901-461-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDIRADEVI",
        "first_name": "AYYAGARI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "AI11119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015928",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karmen Hunter, MD
• Ginnifer Poole Hutcheson, DNP, PMHNP-BC
• Tonya H Hylander, FNP
• Ignite Clinical Wellness Group
• Melissa J Ince, RPH
• Sheryl Ingram
• Inspired Creative Solutions Therapy, LLC
• Integrative Physical Therapy, Inc
• Angel Isom
• Ivx Health of Mississippi, PC (IVX Health)

• Psychiatry Physician in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.