Livingstone Ajit Rasalam, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

033437 Issued in GA

Practice address

303 Woodrow Wilson Dr
Valdosta, GA 31602-2537

Phone

(229) 244-5000

Fax

(229) 244-0808

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livingstone a Rasalam, MD PCGroup PAC ID 9931197217, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Livingstone a. Rasalam, M.D. P.C.

  dba Pathway Wellness Center

  • Specialist
  • Valdosta, GA
  • NPI 1952343634
  Medicare reassignment Care Compare group NPD Authorized official
• SGMP Southland LLC

  • Psychiatry Physician
  • Valdosta, GA
  • NPI 1447695085
  Medicare reassignment NPD
• Choice Family Medicine, PC

  • Primary Care Clinic/Center
  • Valdosta, GA
  • NPI 1609087469
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Hospital Authority of Valdosta and Lowndes County, Georgia

  • Ambulance
  • Valdosta, GA
  • NPI 1558141671
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1841231347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WOODROW WILSON DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022537",
            "telephone_number": "229-244-5000",
            "fax_number": "229-244-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WOODROW WILSON DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022537",
            "telephone_number": "229-244-5000",
            "fax_number": "229-244-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASALAM",
        "first_name": "LIVINGSTONE",
        "middle_name": "AJIT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "033437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00475208C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rainbow ABA LLC
• Rommel Ramesh, MD
• Andrea J. Ramirez, ED.D;LPC
• Karamvir Randhawa, MD
• Cheryl Randolph, OT
• Duhwan Rasmussen, DMD
• Kim Rasmussen, APRN-C
• Jesse Aaron Raszewski, DO, MS
• Srujitha Ravuri, MD
• Cathy Renee Rawlings, LCSW

• Specialist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.