Organization Active NPI

Sarath B. Gangavarapu

  • Psychiatry Physician
  • Jasper, TN
National Provider Identifier
1508184102
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD16350 Issued in TN
Legal business name
SARATH B. GANGAVARAPU
Practice address
1008 Highway 28
Jasper, TN 37347-3638
Phone
(423) 837-3350
Fax
(423) 837-9525
NPI assigned
May 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Sarath B Gangavarapu, M.D.NPI 1194755124
Title
M.D.
Phone
(423) 837-3350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD16350 TN Primary

Addresses

Primary practice location

1008 Highway 28
Jasper, TN 37347-3638

Mailing address

1008 Highway 28
Jasper, TN 37347-3638
Phone (423) 837-3350

National Provider Directory

National Provider Directory

Locations

1008 Highway 28
Jasper, TN 37347
Phone (423) 837-3350

Practitioners & affiliated clinicians

Practitioners 1

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": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1508184102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 HIGHWAY 28",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473638",
            "telephone_number": "423-837-3350",
            "fax_number": "423-837-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 HIGHWAY 28",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473638",
            "telephone_number": "423-837-3350",
            "fax_number": "423-837-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATH B. GANGAVARAPU",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "GANGAVARAPU",
        "authorized_official_first_name": "SARATH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "423-837-3350",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD16350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.