DRS Chandrakanth & Nirmala Amaram

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

159002 Issued in GA

Legal business name

DRS CHANDRAKANTH & NIRMALA AMARAM

Doing business as

Drs Amaram & Amaram

Practice address

302 Uvalda St
Waycross, GA 31501-4551

Phone

(912) 285-2519

Fax

(912) 284-2482

NPI assigned

Apr 4, 2007

Last updated

Jun 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chandrakanth Amaram, MDNPI 1992730881

Title

MD

Phone

(912) 285-2519

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Drs Amaram & Amaram Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Chandrakanth Amaram, M.D.

  • General Practice Physician
  • Waycross, GA
  • NPI 1992730881
  Medicare reassignment Care Compare group NPD Authorized official
• Nirmala D Amaram, M.D.

  • General Practice Physician
  • Waycross, GA
  • NPI 1548295405
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1902928526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 UVALDA ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014551",
            "telephone_number": "912-285-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 UVALDA ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014551",
            "telephone_number": "912-285-2519",
            "fax_number": "912-284-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS CHANDRAKANTH & NIRMALA AMARAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "AMARAM",
        "authorized_official_first_name": "CHANDRAKANTH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "912-285-2519",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "159002",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "159002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000802315B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000804372D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000804372E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000804372A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Amaram & Amaram",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Daniel Mulder Optometry LLC (Seeside Eye Care)
• Julia Drake
• Jonathan A Drawdy, DMD
• Susannah Abbygayle Drawdy
• Dawn Lynn Driggers, FNP
• Lora Christi Dukes, LCSW
• Larry L Dunn, DDS
• Jacqueline Dunnom, LPN
• James W Dye, M.D.
• Marc W. Eaton, PH.D.

• Nephrology Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.