NPIMap

Organization Active NPI

Regional Infectious Diseases and Infusion Center Inc

  • Infectious Disease Physician
  • Lagrange, GA
National Provider Identifier
1649209214
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
REGIONAL INFECTIOUS DISEASES AND INFUSION CENTER INC
Practice address
505 Jenkins St
Lagrange, GA 30240-4225
Phone
(706) 739-7789
Fax
(706) 739-7789
NPI assigned
Jul 3, 2006
Last updated
May 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Dr. Ravi Kamepalli, M.D.NPI 1669464681
Title
Physician/Owner
Phone
(567) 204-0745

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35066788 OH
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

505 Jenkins St
Lagrange, GA 30240-4225

Mailing address

505 Jenkins St
Lagrange, GA 30240-4225
Phone (567) 204-0745

Other practice location 1

830 W High St
Suite 255
Lima, OH 45801-3971
Phone (567) 204-0745

Other identifiers 2

IdentifierTypeStateIssuer
G187324214OtherGAMEDICARE
003232464IMedicaidGA

National Provider Directory

National Provider Directory

Locations

830 W High St
Ste 255
Lima, OH 45801
Phone (419) 226-9338

Practitioners & affiliated clinicians

Practitioners 3

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1649209214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 JENKINS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404225",
            "telephone_number": "567-204-0745",
            "fax_number": "706-739-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 JENKINS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404225",
            "telephone_number": "706-739-7789",
            "fax_number": "706-739-7789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 W High St",
            "address_2": "Suite 255",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458013971",
            "country_code": "US",
            "telephone_number": "567-204-0745",
            "fax_number": "419-227-1410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGIONAL INFECTIOUS DISEASES AND INFUSION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "KAMEPALLI",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "567-204-0745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35066788",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G187324214",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003232464I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.