Arun Kumar Kantamneni, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

70171 Issued in GA

Practice address

4125 Atlanta Rd SE Ste 120
Smyrna, GA 30080-6521

Phone

(770) 858-5377

Fax

(770) 874-3310

NPI assigned

Aug 27, 2008

Last updated

Oct 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5606/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arun K Kantamneni MD, Inc.

  • Psychiatry Physician
  • Villa Rica, GA
  • NPI 1922491695
  Medicare reassignment NPD Authorized official
• Bridgepoint Clinic

  dba Bridgepoint

  • Psychiatry Physician
  • Smyrna, GA
  • NPI 1396464483
  NPD Authorized official
• RV Behavioral, LLC

  dba Ridgeview Institue Smyrna

  • Psychiatric Hospital
  • Smyrna, GA
  • NPI 1427508761
  NPD (past)
• West Cobb Medical Associates, LLC

  • Internal Medicine Physician
  • Lithia Springs, GA
  • NPI 1740454099
  NPD (past)

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1962659391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 ATLANTA RD SE STE 120",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806521",
            "telephone_number": "708-585-3777",
            "fax_number": "770-874-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 ATLANTA RD SE STE 120",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806521",
            "telephone_number": "770-858-5377",
            "fax_number": "770-874-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTAMNENI",
        "first_name": "ARUN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "70171",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "70171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.