Active NPI
Ramamohana Prasad Degala, M.D
- Psychiatry Physician
- Roanoke Rapids, NC
National Provider Identifier
1417152687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 30799
- Practice address
- 105 W Becker Dr
P.O Drawer 1520
Roanoke Rapids, NC 27870-4800 - Phone
- (252) 535-2422
- Fax
- (252) 535-1523
- NPI assigned
- Jun 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 30799 | NC | Primary |
Addresses
Primary practice location
105 W Becker Dr
P.O Drawer 1520
Roanoke Rapids, NC 27870-4800
Mailing address
105 W Becker Dr
Roanoke Rapids, NC 27870-4800
Phone (252) 535-2422
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8928184 | Medicaid | NC | |
| 1649262445 | Other | GROUP NPI# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Roanoke Rapids, NC
- NPI 1649262445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417152687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W BECKER DR",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704800",
"telephone_number": "252-535-2422",
"fax_number": "252-535-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W BECKER DR",
"address_2": "P.O DRAWER 1520",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704800",
"telephone_number": "252-535-2422",
"fax_number": "252-535-1523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGALA",
"first_name": "RAMAMOHANA",
"middle_name": "PRASAD",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "30799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8928184",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI#",
"identifier": "1649262445",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke Rapids, NC
- DDP Pharmacy Inc (Drugco Pharmacy at RHG)
- DDP Pharmacy, Inc (Drugco Discount Pharmacy)
- DDP Pharmacy, Inc (Drugco Express)
- DDP Pharmacy, Inc (Drugco Discount Pharmacy)
- DDP Pharmacy, Inc (Drugco Express)
- Ouassim Derbal, MD
- Rashmi Deshmukh
- Dfender Physical Therapy, LLC
- Michael Dial, PA
- Michael Dicicco, BOCP, BEBOCO, CPED
Sources for this page
- 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.