NPIMap

Individual provider Active NPI

Pallavi Luthra, D.O.

  • Cardiovascular Disease Physician
  • Greensboro, GA
National Provider Identifier
1255694253
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
80837 Issued in GA
Practice address
1110 Commerce Dr Ste 108
Greensboro, GA 30642-7444
Phone
(706) 389-3440
Fax
(706) 353-2205
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 80837 GA Primary

Addresses

Primary practice location

1110 Commerce Dr Ste 108
Greensboro, GA 30642-7444

Mailing address

PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920001161 GA Practitioner - Cardiovascular Disease (Cardiology) 9335490911 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

256 Cobblestone Blvd SE
Moultrie, GA 31788-7703

PO Box
Suite 48089
Athens, GA 30604-8089

PO Box
Suite 7008
Athens, GA 30604

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colquitt Regional Pathology, LLC Single Specialty Current Accepting new patients
CCSG, Inc. Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Pathology Associates, P.C. Single Specialty Current Accepting new patients
Hospital Authority of Mitchell County Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Colquitt Regional Medical Center Single Specialty Current Accepting new patients
Brooks County Hospital Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
John D Archbold Memorial Hospital Inc Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Grady General Hospital Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Colquitt Regional Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Cardiology Consultants of South Georgia, PC Single Specialty Current Accepting new patients
Colquitt Regional Medical Center Single Specialty CurrentSince Jan 1, 2020 Accepting new patients
John D. Archbold Memorial Hospital, Inc. PastSince Jan 1, 2021 Accepting new patients

Locations

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

115 31st Ave SE
Moultrie, GA 31768
Phone (229) 502-1020

1 Sweet Bay Ct
Ste C
Moultrie, GA 31768
Phone (229) 890-3569

1 Sweet Bay Ct
Moultrie, GA 31768
Phone (229) 890-5305

903 N Court St
Quitman, GA 31643
Phone (229) 263-4531

116 Mimosa Dr
Thomasville, GA 31792
Phone (229) 551-0083

100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

Interoperability endpoints

  • Direct secure messaging: pallaviluthra@ccsg.allscriptsdirect.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/

Organizations & group practices 12

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1255694253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3740",
            "fax_number": "706-389-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COMMERCE DR STE 108",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306427444",
            "telephone_number": "706-389-3440",
            "fax_number": "706-353-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHRA",
        "first_name": "PALLAVI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "80837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

Verify at the official NPI Registry.