Active NPI
Suneel Babu Katragadda, M.D.
- Child & Adolescent Psychiatry Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 059255
- Practice address
- 2150 Peachford Rd
Suite K
Atlanta, GA 30338-6520 - Phone
- (770) 458-0450
- Fax
- (770) 458-0470
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 26818 | AL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 059255 | GA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 1939745 | MI |
Addresses
Primary practice location
2150 Peachford Rd
Suite K
Atlanta, GA 30338-6520
Mailing address
2150 Peachford Rd
Suite K
Atlanta, GA 30338-6520
Phone (770) 458-0450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 689757662A | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2151 Peachford Rd
Atlanta, GA 30338-6534
Phone (404) 323-7843
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26818 | AL | MD | Child & Adolescent Psychiatry Physician |
| 059255 | GA | MD | Child & Adolescent Psychiatry Physician |
| 1939745 | MI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ga Psychiatric Services, LLC | Current | Accepting new patients | |
| Georgia Mountains Community Services | Past | Accepting new patients | |
| Uhs of Peachford, L.P. | Past | Accepting new patients |
Locations
2150 Peachford Rd
Ste K
Atlanta, GA 30338
Phone (404) 323-8862
2566 Shallowford Rd NE
Ste 104
Atlanta, GA 30345
Phone (404) 496-4614
2151 Peachford Rd
Dunwoody, GA 30338
Phone (770) 313-2034
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atlanta, GA
- NPI 1124255070
-
- Mental Health Counselor
- Cumming, GA
- NPI 1063522035
-
- Psychiatric Hospital
- Atlanta, GA
- NPI 1093781544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1972632388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 PEACHFORD RD",
"address_2": "SUITE K",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303386520",
"telephone_number": "770-458-0450",
"fax_number": "770-458-0470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PEACHFORD RD",
"address_2": "SUITE K",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303386520",
"telephone_number": "770-458-0450",
"fax_number": "770-458-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATRAGADDA",
"first_name": "SUNEEL",
"middle_name": "BABU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "AL",
"license": "26818",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "GA",
"license": "059255",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "1939745",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "689757662A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.