Organization Active NPI

Rakesh Kumar MD PC

  • General Practice Physician
  • Eatonton, GA
National Provider Identifier
1477733491
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
022807 Issued in GA
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

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Rakesh Kumar, M.D.NPI 1205828696
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
020000895OtherGAMEDICARE RAILROAD
00229226AMedicaidGA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.