Punitha Ida Rathnam, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2010-01045 Issued in NC

Practice address

550 W New Hope Rd
Apt A6
Goldsboro, NC 27534-7560

Phone

(252) 686-8091

Fax

(252) 686-8092

NPI assigned

Jun 11, 2007

Last updated

Nov 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Dawn Psychiatric Services PLLCGroup PAC ID 6204159320, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• New Dawn Psychiatric Services, PLLC

  • Community/Behavioral Health Agency
  • Kinston, NC
  • NPI 1245637701
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth B Saylors, Lpa PLLC

  dba ENC Psychological Services, PLLC

  • Psychologist
  • Kinston, NC
  • NPI 1568600187
  NPD (past)
• Nova Inc

  • Psychiatric Residential Treatment Facility
  • Kinston, NC
  • NPI 1033409453
  NPD (past)
• Nova Inc

  • Psychiatric Residential Treatment Facility
  • Kinston, NC
  • NPI 1124251517
  NPD (past)
• Nova Inc

  • Psychiatric Residential Treatment Facility
  • Kinston, NC
  • NPI 1851524243
  NPD (past)
• Anesthesia Services Associates, PLLC

  dba Comprehensive Pain Specialists

  • Durable Medical Equipment & Medical Supplies
  • Lexington, KY
  • NPI 1376054213
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416096000000",
    "number": "1558564005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GLENWOOD AVE",
            "address_2": "SUITE 8",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013870",
            "telephone_number": "252-686-8091",
            "fax_number": "252-686-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W NEW HOPE RD",
            "address_2": "APT A6",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347560",
            "telephone_number": "252-686-8091",
            "fax_number": "252-686-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHNAM",
        "first_name": "PUNITHA",
        "middle_name": "IDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2014-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2010-01045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "160KF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914830",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• La'Vada Rawls, LCAS- REGISTERED;
• Ray of Hope, Inc
• Mollianne Raynor
• Sharon Williford Raynor

• Psychiatry Physician in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.