Individual provider Active NPI

Karla Aitme Viera-Negron, M.D.

  • Psychiatry Physician
  • Scottdale, GA
National Provider Identifier
1770731804
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
76216 Issued in GA
Practice address
610 Kentucky St
Scottdale, GA 30079-1124
Phone
(470) 289-0114
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 76216 GA Primary
Psychiatry Physician 2084P0800X 4301101679 MI

Addresses

Primary practice location

610 Kentucky St
Scottdale, GA 30079-1124

Mailing address

610 Kentucky St
Scottdale, GA 30079-1124
Phone (470) 289-0114

Other names 1

  • Karla Aitme Viera Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 18, 2018 through Sep 18, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76216GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Psychiatry, PLC CurrentSince Feb 15, 2014 Accepting new patients

Locations

1235 Industrial Dr
Ste 4
Saline, MI 48176
Phone (734) 944-8300

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1770731804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 KENTUCKY ST",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791124",
            "telephone_number": "470-289-0114",
            "fax_number": "470-228-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 KENTUCKY ST",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791124",
            "telephone_number": "470-289-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERA-NEGRON",
        "first_name": "KARLA",
        "middle_name": "AITME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "76216",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301101679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "VIERA",
            "middle_name": "AITME",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottdale, GA

Sources for this page

Verify at the official NPI Registry.