Revathi Koneru (NPI# 1023060266, PAC ID# 3779470513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1023060266 |
| PAC ID by PECOS | 3779470513 |
| Professional Enrollment ID | I20090817000436 |
| Full Name | Revathi Koneru |
| Organization Legal Name | PERSONAL RECOVERY NETWORK LLC |
| Address |
700 Ctr St Suite 501 Columbus GA 31901-1554 |
| Phone Number | 7066531152 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1980 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 5092611384 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 700 Ctr St, Suite 501, Columbus, GA 31901-1554 | 7066531152 | PERSONAL RECOVERY NETWORK LLC |
| Organization Legal Name | PERSONAL RECOVERY NETWORK LLC |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Way | Clinical Social Worker | Personal Recovery Network LLC | 2801 Buford Hwy Ne, Suite 100, Brookhaven, GA 30329-2146 |
| Alana Cox | Psychiatry | Personal Recovery Network LLC | 635 Stephenson Ave, Savannah, GA 31405-5970 |
| Kurtis M Johnson | Psychiatry | Personal Recovery Network LLC | 820 Brookstone Centre Pkwy, Columbus, GA 31904-9246 |
| Timothy Brown | Psychiatry | Personal Recovery Network LLC | 5965 Pkwy N Blvd C, Cumming, GA 30040-1431 |
| Sabitha Aligeti | Psychiatry | Personal Recovery Network LLC | 404 Corder Rd, Suite 100, Warner Robins, GA 31088-7196 |
| Karl Smart | Nurse Practitioner | Personal Recovery Network LLC | 745 S Millage Ave, Athens, GA 30605 |
| Rachel Bryant | Psychologist, Clinical | Personal Recovery Network LLC | 325 Country Club Dr, Suite A, Stockbridge, GA 30281-7350 |
| Brooke Boccaccio | Nurse Practitioner | Personal Recovery Network LLC | 2150 Peachford Rd, Suite H, Atlanta, GA 30338-6539 |
| Jami Hanneman | Clinical Social Worker | Personal Recovery Network LLC | 11111 Houze Rd, Suite 225, Roswell, GA 30076-5618 |
| Tracy Das | Psychiatry | Personal Recovery Network LLC | 5775 Peachtree Dunwoody Rd, C200, Atlanta, GA 30342-1509 |
| Street Address |
700 CTR ST SUITE 501 |
| City | COLUMBUS |
| State | GA |
| Zip | 31901-1554 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher M Lee Ii | Internal Medicine | Internal Medicine of West-central Georgia, P.C. | 700 Ctr St, Suite 204, Columbus, GA 31901-1593 |
| Arvind R Patel | Psychiatry | Personal Recovery Network LLC | 700 Ctr St, Suite 501, Columbus, GA 31901-1554 |
| Gregory M Rucker | Internal Medicine | Internal Medicine of West-central Georgia, P.C. | 700 Ctr St, Suite 204, Columbus, GA 31901-1593 |
| Bhushit S Dixit | Psychiatry | 700 Ctr St, Suite 202, Columbus, GA 31901-1537 | |
| Jagdish R Sidhpura | Neurology | 700 Ctr St, Suite 304, Columbus, GA 31901-1545 | |
| Joseph P Mccarty | Neurology | Columbus Ambulatory Healthcare Services, Inc. | 700 Ctr St, Columbus, GA 31901-1591 |
| Mark Raphael Funk | Internal Medicine | Mark R. Funk, M.d., L.L.C. | 700 Ctr St, Suite 503, Columbus, GA 31901-1555 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas N Malone | Obstetrics/gynecology | Thomas N. Malone M.d. P.C. | 2039 10th Ave, Columbus, GA 31901-1459 |
| Thomas M Malone | Obstetrics/gynecology | Thomas N. Malone M.d. P.C. | 2039 10th Ave, Columbus, GA 31901-1459 |
| Steven L Henslee | Ophthalmology | West Georgia Eye Care Center,p.a. | 2012 10th Ave, Columbus, GA 31901-1460 |
| Saba Gilani | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 Tenth Ave, Columbus, GA 31901-1461 |
| Nishant M Dequadros | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Regino P Cube | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| George M Benashvili | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Tiffany S Overstreet | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Richard J Mckibben | Physical Therapy | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Samuel Osei-bonsu | Diagnostic Radiology | Columbus Diagnostic Center Inc | 2040 10th Ave, Columbus, GA 31901-1461 |
| Find all physicians in zip 31901 | |||
| City | COLUMBUS |
| Zip Code | 31901 |
| Specialty | PSYCHIATRY |
| City + Specialty | COLUMBUS + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.