NPIMap

Organization Active NPI

A. Dhandayuthapani, MD PC

  • Nephrology Physician
  • Columbus, GA
National Provider Identifier
1699077610
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
52166 Issued in GA
Legal business name
A. DHANDAYUTHAPANI, MD PC
Practice address
713 20TH St
Columbus, GA 31904-8920
Phone
(706) 660-5080
Fax
(706) 256-1030
NPI assigned
Nov 23, 2010
Last updated
May 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Dr. Arachelvi Dhandayuthapani, M.D.NPI 1861422743
Title
Owner
Phone
(706) 660-5080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD.27736 AL
Nephrology Physician 207RN0300X 52166 GA Primary

Addresses

Primary practice location

713 20TH St
Columbus, GA 31904-8920

Mailing address

PO Box 4596
Columbus, GA 31914-0596
Phone (706) 660-5080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110223000026 AL Part B Supplier - Clinic/Group Practice 0244411338 Receives reassigned benefits from 1 practitioner
Practice locations: Phenix City, AL
O20120119000277 GA Part B Supplier - Clinic/Group Practice 0244411338 Receives reassigned benefits from 3 practitioners
Practice locations: Richland, GA; Columbus, GA

National Provider Directory

National Provider Directory

Locations

1216 Stark Ave
Columbus, GA 31906
Phone (706) 320-0103

2300 Manchester Expy
Ste F6
Columbus, GA 31904
Phone (706) 321-2530

510 Alston St
Richland, GA 31825
Phone (229) 887-3324

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHDHAD

Practitioners & affiliated clinicians

Practitioners 5

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": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1699077610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4596",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319140596",
            "telephone_number": "706-660-5080",
            "fax_number": "706-256-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 20TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048920",
            "telephone_number": "706-660-5080",
            "fax_number": "706-256-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. DHANDAYUTHAPANI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "DHANDAYUTHAPANI",
        "authorized_official_first_name": "ARACHELVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-660-5080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "MD.27736",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "52166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.