Active NPI
Carmen M Kavali, MD
- Plastic and Reconstructive Surgery Physician
- Atlanta, GA
National Provider Identifier
1316903255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 050968
- Practice address
- 6045 Barfield Rd
Ste 100
Atlanta, GA 30328 - Phone
- (404) 250-3333
- Fax
- (404) 250-0175
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 050968 | GA | Primary |
Addresses
Primary practice location
6045 Barfield Rd
Ste 100
Atlanta, GA 30328
Mailing address
6045 Barfield Rd
Ste 100
Atlanta, GA 30328
Phone (404) 250-3333
Other names 1
- Carmen Michelle Kavali
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050968 | GA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmen M Kavali MD PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Plastic Surgery Physician
- Atlanta, GA
- NPI 1538343884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1316903255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6045 BARFIELD RD",
"address_2": "STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30328",
"telephone_number": "404-250-3333",
"fax_number": "404-250-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6045 BARFIELD RD",
"address_2": "STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30328",
"telephone_number": "404-250-3333",
"fax_number": "404-250-0175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVALI",
"first_name": "CARMEN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "GA",
"license": "050968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARMEN",
"last_name": "KAVALI",
"middle_name": "MICHELLE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.