Psychiatric & Counseling Services of Coffee County

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

029519 Issued in GA

Legal business name

PSYCHIATRIC & COUNSELING SERVICES OF COFFEE COUNTY

Practice address

303A Shirley Ave
Douglas, GA 31533-2333

Phone

(912) 383-8806

Fax

(912) 383-8147

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Karuna Dyapa Reddy, MD

Title

President

Phone

(912) 383-8806

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KARUNA REDDY, MD Other name

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1689725756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303A SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332333",
            "telephone_number": "912-383-8806",
            "fax_number": "912-383-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303A SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332333",
            "telephone_number": "912-383-8806",
            "fax_number": "912-383-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC & COUNSELING SERVICES OF COFFEE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "KARUNA",
        "authorized_official_middle_name": "DYAPA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-383-8806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "029519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000399814H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KARUNA REDDY, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Preferred Family Medicine LLC
• Susan C Preston, RPH
• Procare Respiratory & Home Medical, Inc.
• Professional Home Sleep Studies
• Psych Practice LLC
• Publix Super Markets, Inc.
• Debbie Purvis, FNP-BC
• John Stephen Quinlan
• Radiology Assoc of South Ga, P.C.
• Ericca Sheree Rainey

• Psychiatry Physician in Douglas, GA
• Providers in Douglas, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.