Individual provider Active NPI

Pavani Kolakalapudi, MD

  • Cardiovascular Disease Physician
  • Braselton, GA
National Provider Identifier
1265726384
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
078781 Issued in GA
Practice address
1404 River PL Ste 501
Braselton, GA 30517-5600
Phone
(770) 534-2020
Fax
(770) 534-8025
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 078781 GA Primary

Addresses

Primary practice location

1404 River PL Ste 501
Braselton, GA 30517-5600

Mailing address

3970 Deputy Bill Cantrell Mem Ste 100
Cumming, GA 30040-3069
Phone (678) 513-2273

Other practice location 1

1495 Hickory Flat Hwy Ste 140
Canton, GA 30115-4267
Phone (678) 513-2273

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pkolakalapudi29531@nghs.gadirect.net Direct
Direct Messaging Address pkolakalapudi@hvcmd.com Direct

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
I20170913002142 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1456624402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Care, LLCGroup PAC ID 0941303622, 45 clinicians

Practice addresses (Care Compare)

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040-3069
Phone (678) 513-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
90.12
Promoting interoperability
100
Improvement activities
40
Cost
75.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
078781GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Heart Center Cardiovascular Disease Current Accepting new patients
Heart and Vascular Care, LLC Cardiovascular Disease CurrentSince Apr 1, 2022 Accepting new patients
Heart and Vascular Care CurrentSince Apr 1, 2022 Accepting new patients
Northeast Georgia Medical Center, Inc. PastSince Aug 1, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Cardiovascular Disease PastSince Dec 15, 2019 Accepting new patients

Locations

3905 Brookside Pkwy
Ste 101
Alpharetta, GA 30022

3905 Brookside Pkwy
Ste 202
Alpharetta, GA 30022
Phone (770) 751-9131

4465 Nelson Brogdon Blvd
Ste 103
Buford, GA 30518

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

1495 Hickory Flat Hwy
Ste 140
Canton, GA 30115

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040
Phone (678) 208-6146

3970 Dep Bill Cantrell Memorial Rd
Ste 203
Cumming, GA 30040
Phone (770) 887-5159

3970 Deputy Bill Cantrell Mem
Ste 100
Cumming, GA 30040

73 Prestige Ln
Ste 205
Dawsonville, GA 30534

433 Highland Pkwy
Ste 201
Ellijay, GA 30540
Phone (706) 253-5514

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

53 Gordon Rd
Ste 102
Jasper, GA 30143

290 Heritage Walk
Ste B
Woodstock, GA 30188
Phone (770) 382-0185

Interoperability endpoints

  • Direct secure messaging: pavani.kolakalapudi.1@1164.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 5

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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1265726384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 DEPUTY BILL CANTRELL MEM STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403069",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 RIVER PL STE 501",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175600",
            "telephone_number": "770-534-2020",
            "fax_number": "770-534-8025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1495 Hickory Flat Hwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301154267",
            "country_code": "US",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLAKALAPUDI",
        "first_name": "PAVANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "078781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkolakalapudi29531@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1404 River Pl Ste 501",
            "city": "Braselton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305175600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkolakalapudi@hvcmd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1495 Hickory Flat Hwy Ste 140",
            "city": "Canton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301154267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

Verify at the official NPI Registry.