Active NPI
Pranam Kokilakumar
- Family Medicine Physician
- Aiken, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 078841
- 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
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 |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Piedmont Augusta Hospital
- Wellstar MCG Health, Affiliated With Med Col
- University McDuffie County Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 078841 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care | Current | Accepting new patients | |
| Southland Cochran Emergency Medical Services, LLC | Current | Accepting new patients | |
| Piedmont Medical Care Corporation | Family Medicine | Current | Accepting new patients |
| University Medical Group LLC | Family Medicine | Current | Accepting new patients |
| University Medical Group LLC | Family Medicine | Current | Accepting new patients |
| Southland Emergency Medical Services Consolidated, LLC | Family Medicine | Current | Accepting new patients |
| Piedmont Professional Services, LLC | Family Medicine | Current | Accepting new patients |
| Piedmont Providers LLC | Current | 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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
Family Medicine
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
Family Medicine
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Emergency Medicine Physician
- Cocharan, GA
- NPI 1205241395
-
- Hospitalist Physician
- Cochran, GA
- NPI 1033464391
Family Medicine
-
- Physical Therapist
- Augusta, GA
- NPI 1679286934
-
- Internal Medicine Physician
- Augusta, GA
- NPI 1124231808
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
- Home Health Agency
- Martinez, GA
- NPI 1174991038
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
-
- General Acute Care Hospital
- Thomson, GA
- NPI 1982600540
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.