Kohilavani Velayudam, M.D

Primary specialty

Epilepsy PhysicianTaxonomy code 2084E0001X

License

72584 Issued in GA

Practice address

3500 Duluth Park LN Ste 600
Duluth, GA 30096-3243

Phone

(470) 799-1640

Fax

(877) 807-0753

NPI assigned

Apr 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kvelayudam135138@choa.gadirect.net
• Direct secure messaging: kvelayudam372673@directwellstar.org

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.

• Emory Medical Care Foundation Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1063452381
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment NPD
• Pediatric Epilepsy and Child (Peach) Neurology

  • Neurology with Special Qualifications in Child Neurology Physician
  • Suwanee, GA
  • NPI 1811495989
  NPD Authorized official
• Emory Medical Care Foundation Inc

  • Neurology Physician
  • Atlanta, GA
  • NPI 1164688685
  NPD
• Emory Medical Care Foundation Inc

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1225294739
  NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Wellstar Medical Group, LLC

  • Surgery Physician
  • Marietta, GA
  • NPI 1992131478
  NPD
• Wellstar Cardiovascular Medicine, LLC

  • Cardiovascular Disease Physician
  • Marietta, GA
  • NPI 1457320319
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1386819381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DULUTH PARK LN STE 600",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963243",
            "telephone_number": "470-799-1640",
            "fax_number": "877-807-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 DULUTH PARK LN STE 600",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963243",
            "telephone_number": "470-799-1640",
            "fax_number": "877-807-0753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 Peachtree Industrial Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300978142",
            "country_code": "US",
            "telephone_number": "470-799-1640",
            "fax_number": "877-807-0753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5935 Thoroughbred Way",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241744",
            "country_code": "US",
            "telephone_number": "847-691-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 Tvc",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320001",
            "country_code": "US",
            "telephone_number": "615-322-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 Tvc",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320001",
            "country_code": "US",
            "telephone_number": "615-322-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1180 Ernest W Barrett Pkwy NW Ste 102A",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301444534",
            "country_code": "US",
            "telephone_number": "470-956-1590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5935 Thoroughbred Way",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241744",
            "country_code": "US",
            "telephone_number": "847-691-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELAYUDAM",
        "first_name": "KOHILAVANI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "GA",
            "license": "72584",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "OH",
            "license": "57.010619",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "GA",
            "license": "72584",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "GA",
            "license": "72584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kvelayudam396073@directwellstar.org",
            "affiliation": "N",
            "address_1": "1180 Ernest W Barrett Pkwy NW Ste 102A",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301444534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vascular Atlanta Inc
• Daniela Vasquez
• Marleen Vasquez, RN, MSN
• Emily Vaughan
• Kathryn Irene Vaughn, LCSW
• Malathi Venkatesan, MD
• Barbara L. Verdell
• Leanora Vermillion, PT, DPT
• Vertex Neurological & Medical Services LLC
• Marharyta Viarkhouskaya, DDS

• Epilepsy Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Epilepsy Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.