NPIMap

Organization Active NPI

Ramesh B Kannegenti MD PC

  • Psychiatry Physician
  • Columbus, GA
National Provider Identifier
1407029515
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
040434 Issued in GA
Legal business name
RAMESH B KANNEGENTI MD PC
Practice address
820 Brookstone Centre Pkwy
Columbus, GA 31904-9246
Phone
(706) 653-2889
Fax
(706) 494-8220
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Dr. Ramesh Babu Kannegenti, MD
Title
Owner
Phone
(706) 653-2889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 040434 GA Primary

Addresses

Primary practice location

820 Brookstone Centre Pkwy
Columbus, GA 31904-9246

Mailing address

820 Brookstone Centre Pkwy
Columbus, GA 31904-9246
Phone (706) 653-2889

Other identifiers 3

IdentifierTypeStateIssuer
000876279BMedicaidGA
581371OtherGAVALUE OPTIONS
104482OtherGACENPATICO

National Provider Directory

National Provider Directory

Locations

820 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 653-2889

2420 Double Churches Rd
Ste B
Columbus, GA 31909
Phone (470) 387-8008

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1407029515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049246",
            "telephone_number": "706-653-2889",
            "fax_number": "706-494-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049246",
            "telephone_number": "706-653-2889",
            "fax_number": "706-494-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMESH B KANNEGENTI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "KANNEGENTI",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_middle_name": "BABU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-653-2889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "040434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000876279B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "581371",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENPATICO",
            "identifier": "104482",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.