Pallavi Archana Kumbla, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

90934 Issued in GA

Practice address

4150 Deputy Bill Cantrell Memorial Road
Suite 240
Cumming, GA 30040-3004

Phone

(678) 931-8874

NPI assigned

Apr 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Plastic and Reconstructive Surgery

Education

University of Alabama School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prima Center for Plastic Surgery PCGroup PAC ID 6608949185, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Prima Center for Plastic Surgery PC

  • Specialist
  • Duluth, GA
  • NPI 1114065935
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1134462534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL ROAD",
            "address_2": "SUITE 240",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "678-931-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL ROAD",
            "address_2": "SUITE 240",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403004",
            "telephone_number": "678-931-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMBLA",
        "first_name": "PALLAVI",
        "middle_name": "ARCHANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "90934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kstart Partners LLC
• Crystal L Kuhn, AGACNP-BC
• Jessica Nicole Kuhn, FNP-C
• Vedha Kumar, RBT
• Rani Kumaran, M.D.
• Madison Kupersavage
• Zerine S Kurian, PHARM. D.
• Rose M Kurowski, MS, OTR/L
• Megan Elizabeth Kuzanek-Hall
• Rhoda Kwabi

• Plastic Surgery Physician in Cumming, GA
• Providers in Cumming, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.