Organization Active NPI

Pallipain LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Cumming, GA
National Provider Identifier
1194532796
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
PALLIPAIN LLC
Practice address
102 Mary Alice Park Rd Ste 503
Cumming, GA 30040-2697
Phone
(470) 238-8996
Fax
(470) 202-0144
NPI assigned
Dec 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Kanwar Zameer Singh Gill, MDNPI 1518273945
Title
Owner
Phone
(470) 238-8996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

102 Mary Alice Park Rd Ste 503
Cumming, GA 30040-2697

Mailing address

PO Box 1514
Buford, GA 30515-8514
Phone (470) 238-8996

Other practice location 1

101 Adams Dr
Demorest, GA 30535-4565
Phone (470) 238-8996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250303001429 GA Part B Supplier - Clinic/Group Practice 9537680905 Receives reassigned benefits from 1 practitioner
Practice locations: Cumming, GA; Demorest, GA

National Provider Directory

National Provider Directory

Locations

102 Mary Alice Park Rd
Ste 503
Cumming, GA 30040
Phone (470) 238-8996

102 Mary Alice Park Rd
Cumming, GA 30040
Phone (443) 414-1843

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1194532796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1514",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305158514",
            "telephone_number": "470-238-8996",
            "fax_number": "470-202-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MARY ALICE PARK RD STE 503",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402697",
            "telephone_number": "470-238-8996",
            "fax_number": "470-202-0144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Adams Dr",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354565",
            "country_code": "US",
            "telephone_number": "470-238-8996",
            "fax_number": "470-202-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALLIPAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KANWAR ZAMEER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-238-8996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.