Amarasinghe Amarasinghe, M.D.
Individual provider Active NPI Psychiatry Physician · McDonough, GA
NPI 1346470697 · NPPES record last updated Jul 21, 2009
Key facts
- NPI
- 1346470697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 021475 (GA)
- Practice address
- 2340 Patrick Henry Pkwy
Ste 225
McDonough, GA 30253-4216 - Phone
- (770) 389-8100
- Fax
- (770) 389-3030
- NPI assigned
- Jul 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090930000180 | GA | Practitioner - Psychiatry | 4981740214 | Practice locations: Stockbridge, GA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 021475 | GA | Yes |
Addresses
Primary practice location
2340 Patrick Henry Pkwy
Ste 225
McDonough, GA 30253-4216
Mailing address
2340 Patrick Henry Pkwy
Ste 225
McDonough, GA 30253-4216
Phone (770) 389-8100
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All providers in McDonough, GA · Psychiatry Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.