Individual provider Active NPI

Suneel Babu Katragadda, M.D.

  • Child & Adolescent Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1972632388
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
059255 Issued in GA
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

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
689757662AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070809000524 GA Practitioner - Psychiatry 2567553241 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
26818ALMDChild & Adolescent Psychiatry Physician
059255GAMDChild & Adolescent Psychiatry Physician
1939745MIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ga Psychiatric Services, LLC CurrentSince Sep 1, 2009 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.

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

Verify at the official NPI Registry.