Individual provider Active NPI

Ohad Kott, MD

  • General Practice Physician
  • Tucker, GA
National Provider Identifier
1699333179
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
91203 Issued in GA
Practice address
4905 Lavista Rd Ste B
Tucker, GA 30084-4409
Phone
(770) 680-5740
NPI assigned
May 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 91203 GA Primary
Interventional Pain Medicine Physician 208VP0014X 91203 GA

Addresses

Primary practice location

4905 Lavista Rd Ste B
Tucker, GA 30084-4409

Mailing address

1081 NE 132ND St
North Miami, FL 33161-4214
Phone (917) 972-8555

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220725003250 GA Practitioner - Pain Management 4880075621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4905 Lavista Rd
Suite B
Tucker, GA 30084-4409
Phone (770) 680-5740

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91203GAMDGeneral Practice Physician
0101274274VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marriott Medical Corp CurrentSince Oct 18, 2022 Accepting new patients
Atlanta Health Center PC General Practice CurrentSince Jan 3, 2023 Accepting new patients
Kulanu Medical LLC General Practice Current Accepting new patients

Locations

222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762

4608 Lawrenceville Hwy
Tucker, GA 30084
Phone (770) 491-9444

4905 Lavista Rd
Ste B
Tucker, GA 30084
Phone (770) 680-5740

Interoperability endpoints

  • Direct secure messaging: ohad.kott.1@30361.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1699333179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 NE 132ND ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614214",
            "telephone_number": "917-972-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 LAVISTA RD STE B",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844409",
            "telephone_number": "770-680-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTT",
        "first_name": "OHAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "91203",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "91203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.