Individual provider Active NPI

Ranjan K Avasthi, M.D.

  • Child & Adolescent Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1801068507
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
063164 Issued in GA
Practice address
5454 Yorktowne Dr
Atlanta, GA 30349-5317
Phone
(770) 991-6044
Fax
(770) 991-3843
NPI assigned
Apr 2, 2008
Last updated
Sep 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Child & Adolescent Psychiatry Physician 2084P0804X 063164 GA Primary

Addresses

Primary practice location

5454 Yorktowne Dr
Atlanta, GA 30349-5317

Mailing address

5454 Yorktowne Dr
Atlanta, GA 30349-5317
Phone (770) 991-6044

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
I20110815000741 GA Practitioner - Psychiatry 1658540356 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Aug 1, 2012 Accepting new patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Jul 1, 2011 Accepting new patients
New Progressions, LLC CurrentSince Jun 28, 2019 Accepting new patients
Nak Union, Inc CurrentSince Mar 11, 2018 Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Jul 1, 2011 Accepting new patients
Au Medical Associates Inc CurrentSince Aug 1, 2012 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Oak Ridge Pharmacy Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

5526 Old National Hwy
Ste B
College Park, GA 30349
Phone (404) 565-2249

5530 Old National Hwy
Ste C
College Park, GA 30349
Phone (678) 466-6511

3073 Panthersville Rd
Decatur, GA 30034
Phone (404) 243-2100

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1801068507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 YORKTOWNE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495317",
            "telephone_number": "770-991-6044",
            "fax_number": "770-991-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 YORKTOWNE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495317",
            "telephone_number": "770-991-6044",
            "fax_number": "770-991-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVASTHI",
        "first_name": "RANJAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "063164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.