Individual provider Active NPI

Arun K Munjal, M.D

  • Psychiatry Physician
  • Smyrna, GA
National Provider Identifier
1730150814
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
047627 Issued in GA
Practice address
4015 S Cobb Dr SE
Ste# 101
Smyrna, GA 30080-6303
Phone
(770) 432-2159
Fax
(770) 432-2506
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 047627 GA
Psychiatry Physician 2084P0800X 047627 GA Primary

Addresses

Primary practice location

4015 S Cobb Dr SE
Ste# 101
Smyrna, GA 30080-6303

Mailing address

4015 S Cobb Dr SE Ste 101
Smyrna, GA 30080-6315
Phone (770) 432-2159

Other identifiers 2

IdentifierTypeStateIssuer
00889864CMedicaidGA
00889864DMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000563 GA Practitioner - Psychiatry 9830091420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4015 S Cobb Dr SE
Suite 101
Smyrna, GA 30080-6315
Phone (770) 432-5159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047627GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Behavioral Center P.C. Psychiatry CurrentSince Aug 26, 2002 Accepting new patients

Locations

109 Petrol Pt
Peachtree Cty, GA 30269
Phone (770) 432-2159

4015 S Cobb Dr SE
Ste 101
Smyrna, GA 30080
Phone (770) 432-2159

4480H S Cobb Dr SE
Smyrna, GA 30080

Organizations & group practices 1

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1730150814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE STE 101",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806315",
            "telephone_number": "770-432-2159",
            "fax_number": "770-432-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE",
            "address_2": "STE# 101",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806303",
            "telephone_number": "770-432-2159",
            "fax_number": "770-432-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNJAL",
        "first_name": "ARUN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "047627",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "047627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00889864C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00889864D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.