Venkata Ramanamba Jonnalagadda, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

2010-01156 Issued in NC

Practice address

502 Red Banks Rd Ste a
Greenville Psychiatric Associates, P.a.
Greenville, NC 27858-5751

Phone

(252) 758-4810

NPI assigned

Jul 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1396945804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 RED BANKS RD STE A",
            "address_2": "GREENVILLE PSYCHIATRIC ASSOCIATES, P.A.",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585751",
            "telephone_number": "252-758-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 RED BANKS RD STE A",
            "address_2": "GREENVILLE PSYCHIATRIC ASSOCIATES, P.A.",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585751",
            "telephone_number": "252-758-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONNALAGADDA",
        "first_name": "VENKATA",
        "middle_name": "RAMANAMBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2010-01156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shondell L Jones, P.T, D.P.T
• Taylor Michele Jones, MS, CCC-SLP
• Temeka Jones, CRT
• Vontriska Ronique Jones, DMD
• William Joheaven-Pierre Jones, LCAS; LCSW
• Andrew Jordan, D.M.D.
• George Lee Jordan III, DO
• Harrison Randall Jordan, DO
• Joseph C Jordan, MD
• Lauren Moore Jordan, MD

• Child & Adolescent Psychiatry Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Child & Adolescent Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.