Individual provider Active NPI

Vanessa Eva Ragukonis, D.O.

  • Psychiatry Physician
  • Cumming, GA
National Provider Identifier
1689086316
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
92843 Issued in GA
Practice address
3820 Windermere Pkwy Ste 603
Cumming, GA 30041-7020
Phone
(678) 607-8334
Fax
(678) 737-1823
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DOS-1726 HI
Psychiatry Physician 2084P0800X 92843 GA Primary
Psychiatry Physician 2084P0800X T9219 TX

Addresses

Primary practice location

3820 Windermere Pkwy Ste 603
Cumming, GA 30041-7020

Mailing address

3820 Windermere Pkwy Ste 603
Cumming, GA 30041-7020

Other names 1

  • Miss Vanessa Eva Stetson Rodriguez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
92843GAMDPsychiatry Physician
DOS-1726HIMDPsychiatry Physician
T9219TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lanier Family Psychiatry Inc Psychiatry CurrentSince Nov 1, 2023 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients

Locations

3820 Windermere Pkwy
Ste 603
Cumming, GA 30041
Phone (678) 607-8334

Interoperability endpoints

  • Direct secure messaging: vanessaragukonis@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1689086316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 WINDERMERE PKWY STE 603",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 WINDERMERE PKWY STE 603",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417020",
            "telephone_number": "678-607-8334",
            "fax_number": "678-737-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUKONIS",
        "first_name": "VANESSA",
        "middle_name": "EVA",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "DOS-1726",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "92843",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T9219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "RODRIGUEZ",
            "middle_name": "EVA STETSON",
            "prefix": "MISS",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.