NPIMap

Organization Active NPI

Kusuma Rao MD PC

  • Psychiatry Physician
  • Griffin, GA
National Provider Identifier
1770733842
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KUSUMA RAO MD PC
Practice address
703 S 9TH St
Griffin, GA 30224-4820
Phone
(770) 227-2727
Fax
(770) 227-1276
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Kusuma Rao, MDNPI 1740285212
Title
Owner
Phone
(770) 227-2727

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

703 S 9TH St
Griffin, GA 30224-4820

Mailing address

703 S 9TH St
Griffin, GA 30224-4820
Phone (770) 227-2727

National Provider Directory

National Provider Directory

Locations

703 S 9th St
Griffin, GA 30224
Phone (770) 227-2727

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1770733842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S 9TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244820",
            "telephone_number": "770-227-2727",
            "fax_number": "770-227-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S 9TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244820",
            "telephone_number": "770-227-2727",
            "fax_number": "770-227-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSUMA RAO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "KUSUMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-227-2727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.