Active NPI
Meena R. Kannan, M.D.
- Neurology Physician
- Charlottesville, VA
National Provider Identifier
1841589249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101265116
- Practice address
- 1221 Lee St
Charlottesville, VA 22908-0001 - Phone
- (434) 924-2706
- Fax
- (434) 243-5420
- NPI assigned
- Apr 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35130895 | OH | |
| Neurology Physician | 2084N0400X | MD171268 | OR | |
| Neurology Physician | 2084N0400X | 0101265116 | VA | Primary |
Addresses
Primary practice location
1221 Lee St
Charlottesville, VA 22908-0001
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other practice location 1
1204 W Main St
Charlottesville, VA 22908
Phone (434) 924-8662
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkannan416475@direct.healthsystem.virginia.edu | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Alabama School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2020 Peachtree Rd NW
Atlanta, GA 30309-1426
Phone (404) 352-2020
3200 Downwood Cir NW
Suite 550
Atlanta, GA 30327-1624
Phone (404) 351-0205
Hospital & facility affiliations
- Tanner Medical Center Villa Rica
- Shepherd Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35130895 | OH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Neuroscience Institute, Inc. | Neurology | Current | Accepting new patients |
Locations
3200 Downwood Cir NW
Ste 550
Atlanta, GA 30327
Phone (404) 351-0205
Organizations & group practices 3
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.
-
- Neurology Physician
- Atlanta, GA
- NPI 1184847345
-
- Long Term Care Hospital
- Atlanta, GA
- NPI 1043311715
-
- Neurology Physician
- Carrollton, GA
- NPI 1588192660
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1841589249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 LEE ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080001",
"telephone_number": "434-924-2706",
"fax_number": "434-243-5420"
}
],
"practiceLocations": [
{
"address_1": "1204 W Main St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "22908",
"country_code": "US",
"telephone_number": "434-924-8662",
"fax_number": "434-924-9068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANNAN",
"first_name": "MEENA",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-06",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35130895",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "MD171268",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101265116",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkannan416475@direct.healthsystem.virginia.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1221 Lee St",
"city": "Charlottesville",
"state": "VA",
"country_code": "US",
"postal_code": "229080001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.