Individual provider Active NPI

Mamatha Pinninti, MBBS

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Cumming, GA
National Provider Identifier
1336370451
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
94918 Issued in GA
Practice address
101 Greenfield Dr Ste 260
Cumming, GA 30040-2727
Phone
(678) 513-2273
Fax
(678) 513-8869
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 94918 GA Primary

Addresses

Primary practice location

101 Greenfield Dr Ste 260
Cumming, GA 30040-2727

Mailing address

3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040-3011
Phone (678) 513-2273

Other practice location 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191004001030 TN Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Internal Medicine 0244429470 Reassigns benefits to 2 organizations
I20230720002235 GA Practitioner - Advanced Heart Failure and Transplant Cardiology 0244429470 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant Cardiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Care East LLCGroup PAC ID 2163951997, shared by 2 NPIs, 20 clinicians
Heart and Vascular Care, LLCGroup PAC ID 0941303622, shared by 2 NPIs, 45 clinicians

Practice addresses (Care Compare)

101 Greenfield Dr
Suite 260
Cumming, GA 30040-3175
Phone (678) 513-2273

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

Hospital & facility affiliations

  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94918GAMDAdvanced Heart Failure and Transplant Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Care East, LLC CurrentSince Jan 1, 2025 Accepting new patients
Williamson Professional Practice CurrentSince Jul 6, 2021 Accepting new patients
Heart and Vascular Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
Heart and Vascular Care CurrentSince Aug 1, 2023 Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Aug 12, 2019 Accepting new patients
Heart and Vascular Care East, LLC CurrentSince Jan 1, 2025 Accepting new patients
Cogent Healthcare of Wisconsin, SC Internal Medicine Past Accepting new patients

Locations

3905 Brookside Pkwy
Ste 101
Alpharetta, GA 30022

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

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
Cumming, GA 30040
Phone 6785132273292

101 Greenfield Dr
Ste 260
Cumming, GA 30040

53 Gordon Rd
Ste 102
Jasper, GA 30143

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

1840 Medical Center Pkwy
Ste 201
Murfreesboro, TN 37129
Phone (615) 867-5028

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

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

Organizations & group practices 7

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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1336370451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 DEP BILL CANTRELL MEMORIAL RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403011",
            "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": "101 GREENFIELD DR STE 260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402727",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        }
    ],
    "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": "PINNINTI",
        "first_name": "MAMATHA",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "GA",
            "license": "94918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.