Kenneth Edward Dinella, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

36716 Issued in GA

Practice address

1120 Elm Ave
Americus, GA 31709

Phone

(229) 928-8868

Fax

(229) 928-8919

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

University of Alabama School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Middle Flint Area Community Service BoardGroup PAC ID 3274426150, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Middle Flint Area Community Service Board

  • Community/Behavioral Health Agency
  • Fort Valley, GA
  • NPI 1366521932
  Medicare reassignment Care Compare group NPD
• Kenneth E. Dinella MD LLC

  • Psychiatry Physician
  • Americus, GA
  • NPI 1750625364
  NPD (past) Authorized official
• Middle Flint Area Community Service Board

  • Community/Behavioral Health Agency
  • Americus, GA
  • NPI 1487822599
  NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992921126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317090686",
            "telephone_number": "229-928-8868",
            "fax_number": "229-928-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ELM AVE",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "31709",
            "telephone_number": "229-928-8868",
            "fax_number": "229-928-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINELLA",
        "first_name": "KENNETH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "36716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00553253A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "36716",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Schenita Dennard
• Jani Dennis, FNP
• Laura McMaster Depaola, PH.D.
• Quaison Trentus Dey, M.D.
• DFCS-Region VIII Accounting
• Doctor'S Pharmacy-Vital Care, Inc.
• Doctor'S Pharmacy-Vital Care, Inc.
• Amy Dodgen
• Jessica Joyce Dowdell, LPC
• Jessica Lindsay Driver

• Psychiatry Physician in Americus, GA
• Providers in Americus, 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 7, 2023; 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.