Arun K Kantamneni MD, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

70171 Issued in GA

Legal business name

ARUN K KANTAMNENI MD, INC.

Practice address

20 Herrell Rd
Villa Rica, GA 30180-5527

Phone

(770) 881-8495

NPI assigned

Mar 5, 2015

Last updated

Mar 5, 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

Dr. Arun Kumar Kantamneni, M.DNPI 1962659391

Title

Psychiatrist

Phone

(770) 881-8495

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 5

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.

• Arun Kumar Kantamneni, MD

  • Psychiatry Physician
  • Smyrna, GA
  • NPI 1962659391
  Medicare reassignment NPD Authorized official
• Edward Dickson Hicks VI, APC

  • Mental Health Counselor
  • Smyrna, GA
  • NPI 1861064644
  Medicare reassignment NPD
• Amber Nickolina Tidwell, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1073862751

  GA

  Medicare reassignment NPD
• Jessica Perez, LCSW

  • Clinical Social Worker
  • Smyrna, GA
  • NPI 1275058711
  NPD
• Tyler Wade Trotter

  • Clinical Social Worker
  • Alpharetta, GA
  • NPI 1972031979
  NPD

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1922491695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2287",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HERRELL RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805527",
            "telephone_number": "770-881-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUN K KANTAMNENI MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "KANTAMNENI",
        "authorized_official_first_name": "ARUN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "770-881-8495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "70171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.