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DR. MRIDULA PURI MD
NPI 1316061492
Psychiatry & Neurology - Child & Adolescent Psychiatry in Decatur, GA

Active since March 16, 2007PECOS Enrolled
445 WINN WAY, DECATUR, GA 30030(404) 508-7700(404) 508-7733 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mridula Puri Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MRIDULA PURI MD (NPI 1316061492) is an individual child & adolescent psychiatry provider in Decatur, Georgia, licensed in Georgia (GA20066) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316061492
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MRIDULA PURICredential: MD
Location Address445 WINN WAYDecatur, GA 30030-1707
Mailing Address445 Winn WayDecatur, GA 30030-1707 · (404) 508-7700 · Fax (404) 508-7733
Phone(404) 508-7700
Fax(404) 508-7733
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316061492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in GA · GA20066
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
445 WINN WAY, Decatur, GA 30030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mridula Puri Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CLIFTON HATCHERSON JR. LCSW
Social Worker (Clinical)
445 WINN WAY, 5247 RUNNING DOE DRIVE
DECATUR, GA 30030
Dekalb County (404) 289-8445
SARAH DAVISON LPC
Counselor (Professional)
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3836
DR. BRIAN M PALMER I DO
Preventive Medicine (Public Health & General Preventive Medicine)
445 WINN WAY, ROOM # 124
DECATUR, GA 30030
Dekalb County (404) 508-7881
ABDUL NIAZI NP
Nurse Practitioner
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3745
DR. CHIKKANAYAK B LOKESH M.D.
Psychiatry & Neurology (Psychiatry)
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3836
MRS. CAROL BERMAN HARPER LCSW
Social Worker (Clinical)
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 508-6430
DR. CARMEN SOFIA MARTINEZ M.D.
Psychiatry & Neurology (Addiction Psychiatry)
445 WINN WAY, DEKALB COMMUNITY SERVICE BOARD
DECATUR, GA 30030
Dekalb County (404) 508-7700
MATTHEW RASKIND LCSW
Psychologist (Clinical)
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3834

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mridula Puri's NPI number?

The NPI number for Mridula Puri is 1316061492. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Mridula Puri located?

Mridula Puri practices at 445 Winn Way, Decatur, GA 30030. The listed phone number is (404) 508-7700.

What is Mridula Puri's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Mridula Puri enrolled in Medicare?

Yes. Mridula Puri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mridula Puri was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.