Jayaram D Prasad, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

035320 Issued in GA

Practice address

2788 Bayard St
Suite 201
East Point, GA 30344-3441

Phone

(404) 768-3043

Fax

(404) 768-1781

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1689611329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 BAYARD ST",
            "address_2": "SUITE 201",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443441",
            "telephone_number": "404-768-3043",
            "fax_number": "404-768-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2788 BAYARD ST",
            "address_2": "SUITE 201",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443441",
            "telephone_number": "404-768-3043",
            "fax_number": "404-768-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "JAYARAM",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "035320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00705592D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in East Point, GA
• Providers in East Point, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.