NPIMap

Individual provider Active NPI

Ravi Kumar Kamepalli, M.D.

  • Infectious Disease Physician
  • Lagrange, GA
National Provider Identifier
1669464681
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
85111 Issued in GA
Practice address
505 Jenkins St
Lagrange, GA 30240-4225
Phone
(706) 739-7789
Fax
(706) 739-7776
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 85111 GA Primary

Addresses

Primary practice location

505 Jenkins St
Lagrange, GA 30240-4225

Mailing address

505 Jenkins St
Lagrange, GA 30240-4225
Phone (706) 739-7789

Other practice location 1

462 Furys Ferry Rd
Augusta, GA 30907-9506
Phone (706) 868-0319

Other practice location 2

421 Chestnut St
Evansville, IN 47713
Phone (812) 450-8600

Other practice location 3

2 Good Samaritan Way Ste 420
Mount Vernon, IL 62864-2478
Phone (618) 899-4000

Other practice location 4

830 W High St
Suite 255
Lima, OH 45801-3971
Phone (419) 228-1535

Other practice location 5

830 W High St
Suite 255
Lima, OH 45801-3971
Phone (419) 228-1535

Other identifiers 4

IdentifierTypeStateIssuer
2402046MedicaidOH
G18732AOtherGAMEDICARE
003232464AMedicaidGA
300021480MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rkamepalli350851@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200410001015 GA Practitioner - Infectious DiseasePractitioner - Internal Medicine 1658404652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

505 Jenkins St
Lagrange, GA 30240-4225
Phone (706) 739-7789

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
  • Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016
  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Eamc - Lanier Hospital, Valley, AL, CCN 010780

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue269
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeco Medical, P.C. Multi-Specialty Past Accepting new patients
CMC Radiological Services PC Multi-Specialty Past Accepting new patients
Lima Memorial Joint Operating Company Multi-Specialty Past Accepting new patients
CMC Housestaff Multi-Specialty Past Accepting new patients
CMC Radiological Services PC Multi-Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rkamepalli350851@direct-ehr-ssmhc.com
  • Direct secure messaging: ravi.kamepalli.1@23451.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1669464681",
    "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": "706-739-7789",
            "fax_number": "706-739-7776"
        },
        {
            "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": "706-739-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 Furys Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309079506",
            "country_code": "US",
            "telephone_number": "706-868-0319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "47713",
            "country_code": "US",
            "telephone_number": "812-450-8600",
            "fax_number": "812-450-8151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Good Samaritan Way Ste 420",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642478",
            "country_code": "US",
            "telephone_number": "618-899-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "419-228-1535",
            "fax_number": "419-227-1410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "419-228-1535",
            "fax_number": "419-227-1410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMEPALLI",
        "first_name": "RAVI",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "85111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2402046",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G18732A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003232464A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300021480",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkamepalli350851@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rkamepalli350851@direct-ehr-ssmhc.com",
            "address_1": "2 Good Samaritan Way Ste 420",
            "city": "Mount Vernon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628642478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2 Good Samaritan Way Ste 420",
            "city": "Mount Vernon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628642478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.