Organization Active NPI

K. Ramesh Reddy

  • Family Medicine Physician
  • Decaturville, TN
National Provider Identifier
1891967931
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
K. RAMESH REDDY
Practice address
187 W Main St
Decaturville, TN 38329-0127
Phone
(731) 852-2761
Fax
(731) 852-2781
NPI assigned
Mar 28, 2008
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Keesara Ramesh Reddy, MD
Title
Owner
Phone
(731) 852-2761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

187 W Main St
Decaturville, TN 38329-0127

Mailing address

PO Box 127
Decaturville, TN 38329-0127
Phone (731) 852-2761

Other names 1

  • Decaturville Clinic Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1891967931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "DECATURVILLE",
            "state": "TN",
            "postal_code": "383290127",
            "telephone_number": "731-852-2761",
            "fax_number": "731-852-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 W MAIN ST",
            "city": "DECATURVILLE",
            "state": "TN",
            "postal_code": "383290127",
            "telephone_number": "731-852-2761",
            "fax_number": "731-852-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. RAMESH REDDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "KEESARA",
        "authorized_official_middle_name": "RAMESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-852-2761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decaturville Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decaturville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.