NPIMap

Organization Active NPI

K.V. Panchapakasan, M.D. PC

  • Emergency Medicine Physician
  • Macon, GA
National Provider Identifier
1922456300
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
42912 Issued in GA
Legal business name
K.V. PANCHAPAKASAN, M.D. PC
Practice address
818 Forsyth St
Macon, GA 31201-2139
Phone
(478) 633-7010
Fax
(478) 633-7585
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Kalambur V Panchapakesan, M.D.
Title
Owner
Phone
(478) 633-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 42912 GA Primary

Addresses

Primary practice location

818 Forsyth St
Macon, GA 31201-2139

Mailing address

818 Forsyth St
Macon, GA 31201-2139
Phone (478) 633-7010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1922456300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012139",
            "telephone_number": "478-633-7010",
            "fax_number": "478-633-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012139",
            "telephone_number": "478-633-7010",
            "fax_number": "478-633-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.V. PANCHAPAKASAN, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "PANCHAPAKESAN",
        "authorized_official_first_name": "KALAMBUR",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-633-7010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "42912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.