Kenneth E. Dinella MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036716 Issued in GA

Legal business name

KENNETH E. DINELLA MD LLC

Practice address

1120 Elm Ave
Americus, GA 31709-4253

Phone

(229) 928-8868

Fax

(229) 928-8919

NPI assigned

Nov 20, 2012

Last updated

Nov 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Edward Dinella, M.D.NPI 1992921126

Title

Authorized Official

Phone

(229) 928-8868

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Kenneth Edward Dinella, M.D.

  • Psychiatry Physician
  • Americus, GA
  • NPI 1992921126
  NPD (past) Authorized official

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1750625364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317090686",
            "telephone_number": "229-928-8868",
            "fax_number": "229-928-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ELM AVE",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317094253",
            "telephone_number": "229-928-8868",
            "fax_number": "229-928-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH E. DINELLA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "DINELLA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "229-928-8868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "036716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00553253A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "26BDCVB",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Marie Kaye, RDN/LDN, IFNCP, CIEC
• Demetria Kearse-Brown
• Kyewonsa Kearse
• Carla Marie Kendrick-Brown, PHYSICIAN ASSISTANT
• Sitara Kendrick
• Alana Renee Kester, FNP
• Saied Khosrowpour, M.D.
• Linda Kidd, LPC
• Amy Kimbrell, RDH
• Lakedriana Kimbrough

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.