Dr. Roddy Paul Ingraham
M.D. | Pediatric Adolescent Medicine | Male
Dr. Roddy Paul Ingraham, M.D. is a Rocky Face, Georgia based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Roddy Paul Ingraham is
2971 Hurricane Rd, Rocky Face, Georgia - 30740-8716. He can be contacted on phone at
706-673-7889 and fax number 706-673-3628.
Dr. Roddy Paul Ingraham is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Roddy Paul Ingraham is
1760530133 which was assigned by NPPES on 08 Jan, 2007 and it was last updated on 08 Jul, 2007.
Dr. Roddy Paul Ingraham specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Roddy Paul Ingraham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Roddy Paul Ingraham |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Roddy Paul Ingraham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2971 Hurricane Rd
Rocky Face, GA, 30740-8716
United States |
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| Phone Number : | 706-673-7889 |
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| Fax Number : | 706-673-3628 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1760530133 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Jan, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Medicare Participation:
Dr. Roddy Paul Ingraham participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 0446328264 |
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| Medicare Enrollment ID : | I20081007000532 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Emory University School Of Medicine |
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| Graduation Year : | 1970 |
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| Accepts Medicare? | Yes. Dr. Roddy Paul Ingraham accepts medicare insurance. |
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Group Practice Association:
Dr. Roddy Paul Ingraham is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Roddy Paul Ingraham is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| | | 2971 Hurricane Rd
Rocky Face, GA - 307408716
Ph: 7066737889 | May accept |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Roddy Paul Ingraham are as mentioned. Primary taxonomy code for Dr. Roddy Paul Ingraham, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | No | 13979 | GA |
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | No | 13979 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Roddy Paul Ingraham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00006982C | Other | GA | PHYSICIAN IDENTIFICATION |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2971 Hurricane Rd
Rocky Face, GA, 30740-8716
United States |
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| Phone Number : | 706-673-7889 |
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| Fax Number : | 706-673-3628 |
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Business Location:
Patients can refer following map for directions to
Dr. Roddy Paul Ingraham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.