Individual provider Active NPI

Ramesh Babu Kannegenti, M.D.

  • Psychiatry Physician
  • Columbus, GA
National Provider Identifier
1801895966
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
040434 Issued in GA
Practice address
820 Brookstone Centre Pkwy
Columbus, GA 31904-9246
Phone
(706) 653-2889
Fax
(706) 494-8220
NPI assigned
Jul 20, 2005
Last updated
Nov 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 040434 GA Primary

Addresses

Primary practice location

820 Brookstone Centre Pkwy
Columbus, GA 31904-9246

Mailing address

6 Yosemite CT
Columbus, GA 31907-1730
Phone (706) 653-2889

Other identifiers 2

IdentifierTypeStateIssuer
52493278OtherGABLUE CROSS BLUE SHIELD
000876279BMedicaidGA

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
I20070213000199 GA Practitioner - Psychiatry 7517967094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

1200 Brookstone Centre Pkwy
Suite 226
Columbus, GA 31904-2988
Phone (770) 389-8100

250 Corporate Ctr CT
Stockbridge, GA 30281-6388
Phone (770) 954-8685

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040434GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC Psychiatry CurrentSince Aug 9, 2017 Accepting new patients
Pathways Center for Behavioral and Developmental Growth Past Accepting new patients
Georgia Department of Human Resources Past Accepting new patients
Pathways Center for Behavioral & Developmental Growth PastSince Nov 24, 2019 Accepting new patients

Locations

1200 Brookstone Centre Pkwy
Ste 226
Columbus, GA 31904
Phone (706) 653-2889

820 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 653-2889

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.rameshkannegenti@124220.advancedmd-direct.com

Organizations & group practices 5

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1801895966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 YOSEMITE CT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319071730",
            "telephone_number": "706-653-2889",
            "fax_number": "706-494-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049246",
            "telephone_number": "706-653-2889",
            "fax_number": "706-494-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNEGENTI",
        "first_name": "RAMESH",
        "middle_name": "BABU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "040434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  BLUE SHIELD",
            "identifier": "52493278",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000876279B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.