Individual provider Active NPI

Padmavathi V. Pagadala, M.D.

  • Obstetrics & Gynecology Physician
  • Cumming, GA
National Provider Identifier
1174683544
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
081621 Issued in GA
Practice address
566 Peachtree Pkwy
Cumming, GA 30041-9792
Phone
(470) 866-3200
Fax
(470) 866-3270
NPI assigned
Dec 8, 2006
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 081621 GA Primary

Addresses

Primary practice location

566 Peachtree Pkwy
Cumming, GA 30041-9792

Mailing address

566 Peachtree Pkwy Ste 121
Cumming, GA 30041-9792
Phone (470) 866-3200

Other identifiers 2

IdentifierTypeStateIssuer
00312955AMedicaidGA
98734OtherILBCBS

Other names 1

  • Padmavathi V Gajula Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181211003742 GA Practitioner - Obstetrics/Gynecology 4880750488 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Georgia, P.C.Group PAC ID 9032383583, 34 clinicians

Practice addresses (Care Compare)

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
081621GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Piedmont PC Obstetrics & Gynecology CurrentSince Dec 20, 2022 Accepting new patients
Northside Surgical Professional Services LLC CurrentSince Feb 1, 2024 Accepting new patients
Gwinnett Physician Group, LLC Obstetrics & Gynecology CurrentSince Jun 1, 2023 Accepting new patients
Dr. Bolanle Sogade M.D. LLC CurrentSince Nov 25, 2025 Accepting new patients
Maa Womens Health LLC Obstetrics & Gynecology CurrentSince Sep 15, 2024 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Aug 8, 2024 Accepting new patients
Iowa Physicians Clinic Medical Foundation Obstetrics & Gynecology PastSince Nov 1, 2015 Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1800 Northside Forsyth Dr
Ste 350
Cumming, GA 30041
Phone (770) 205-6501

566 Peachtree Pkwy
Ste 121
Cumming, GA 30041
Phone (470) 866-3200

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

550 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-4790

639 Hemlock St
Ste 101
Macon, GA 31201
Phone (478) 394-6061

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGFHDD/Endpoint/IGFHDD
  • Direct secure messaging: ppagadala3068000@direct.trinity-health.org
  • Direct secure messaging: ppagadala49472@direct.emory.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1174683544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 PEACHTREE PKWY STE 121",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419792",
            "telephone_number": "470-866-3200",
            "fax_number": "470-866-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 PEACHTREE PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419792",
            "telephone_number": "470-866-3200",
            "fax_number": "470-866-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGADALA",
        "first_name": "PADMAVATHI",
        "middle_name": "V.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "081621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00312955A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "98734",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PADMAVATHI",
            "last_name": "GAJULA",
            "middle_name": "V",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.