Individual provider Active NPI

Pranam Kokilakumar

  • Family Medicine Physician
  • Aiken, SC
National Provider Identifier
1376938696
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
078841 Issued in GA
Practice address
3515 Richland Ave
Aiken, SC 29801
Phone
(803) 642-2626
Fax
(803) 642-2960
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 078841 GA Primary

Addresses

Primary practice location

3515 Richland Ave
Aiken, SC 29801

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7263

Other practice location 1

233 N Houston Rd Ste 140E
Warner Robins, GA 31093-3023
Phone (478) 975-6880

Other practice location 2

1100 W Lake Commons Dr
Martinez, GA 30907-7932
Phone (706) 228-2565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20180905003725 GA Practitioner - Family Practice 2567746274 Reassigns benefits to 5 organizations
I20190220000398 SC Practitioner - Family Practice 2567746274

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

660 Cherokee St NE
Suite 100
Marietta, GA 30060-8930
Phone (678) 797-8210

Hospital & facility affiliations

  • Trinity Home Health Home health agency, Martinez, GA, CCN 117025
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
  • Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034
  • University McDuffie County Regional Medical Center Hospital, Thomson, GA, CCN 110111

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
078841GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Current Accepting new patients
Southland Cochran Emergency Medical Services, LLC CurrentSince May 6, 2018 Accepting new patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
University Medical Group LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
University Medical Group LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Southland Emergency Medical Services Consolidated, LLC Family Medicine CurrentSince May 6, 2018 Accepting new patients
Piedmont Professional Services, LLC Family Medicine CurrentSince Sep 23, 2023 Accepting new patients
Piedmont Providers LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

95 Collier Rd NW
Ste 6015
Atlanta, GA 30309
Phone (404) 351-5959

105 Collier Rd NW
Ste 1020
Atlanta, GA 30309
Phone (404) 351-2112

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997

818 Saint Sebastian Way
Ste 200
Augusta, GA 30901
Phone (706) 774-5145

1350 Walton Way
Fl 4
Augusta, GA 30901
Phone (706) 774-5795

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

447 N Belair Rd
Ste 104
Evans, GA 30809
Phone (706) 854-2180

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

660 Cherokee St NE
Ste 100
Marietta, GA 30060
Phone (678) 797-8201

1100 West Lake Commons Dr
Martinez, GA 30907
Phone (706) 228-2565

1855 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 565-0648

3515 Richland Ave W
Aiken, SC 29801
Phone (803) 502-5527

325 Georgia Ave
Ste 100
North Augusta, SC 29841
Phone (803) 202-3351

Organizations & group practices 9

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 4

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1376938696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "700-677-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 RICHLAND AVE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29801",
            "telephone_number": "803-642-2626",
            "fax_number": "803-642-2960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 N Houston Rd Ste 140E",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310933023",
            "country_code": "US",
            "telephone_number": "478-975-6880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Lake Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "309077932",
            "country_code": "US",
            "telephone_number": "706-228-2565",
            "fax_number": "706-868-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOKILAKUMAR",
        "first_name": "PRANAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "078841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.