Active NPI
Rakesh Kumar MD PC
- General Practice Physician
- Eatonton, GA
National Provider Identifier
1477733491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 022807
- Legal business name
- RAKESH KUMAR MD PC
- Practice address
- 123 Sparta Hwy
Eatonton, GA 31024-6093 - Phone
- (707) 485-2621
- NPI assigned
- Nov 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rakesh Kumar, M.D.
- Title
- President/Owner
- Phone
- (707) 485-2621
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 022807 | GA | Primary |
Addresses
Primary practice location
123 Sparta Hwy
Eatonton, GA 31024-6093
Mailing address
PO Box 4150
Eatonton, GA 31024-4150
Phone (706) 485-2621
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020000895 | Other | GA | MEDICARE RAILROAD |
| 00229226A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
123 Sparta Hwy
Eatonton, GA 31024
Phone (706) 485-2621
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Eatonton, GA
- NPI 1205828696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204156800000",
"number": "1477733491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4150",
"city": "EATONTON",
"state": "GA",
"postal_code": "310244150",
"telephone_number": "706-485-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SPARTA HWY",
"city": "EATONTON",
"state": "GA",
"postal_code": "310246093",
"telephone_number": "707-485-2621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAKESH KUMAR MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-07",
"last_updated": "2008-02-28",
"status": "A",
"authorized_official_last_name": "KUMAR",
"authorized_official_first_name": "RAKESH",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "707-485-2621",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "GA",
"license": "022807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "020000895",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00229226A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eatonton, GA
- Putnam General Hospital Authority (Putnam General Hospital Swing Bed Unit)
- Putnam Pedaitrics, Inc
- Putnam Pharmacy Inc (Ray Drug Company)
- Putnam-Jasper Assoc. for Mentally Handicapped, Inc. (Putnam-Jasper Support Services)
- Tiffany Bess Quinton, ACNPC-AG
- Lora Knowles Ray, M.S., CCC-SLP
- Elizabeth Reaves, RN
- Recover Now Georgia LLC (Recover Now Georgia, DBA Retreat of Atlanta)
- Reid Emergency Group, PC
- Eddie Richardson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.