Organization Active NPI

Maa Womens Health LLC

  • Obstetrics & Gynecology Physician
  • Cumming, GA
National Provider Identifier
1750112926
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MAA WOMENS HEALTH LLC
Practice address
566 Peachtree Pkwy Ste 121
Cumming, GA 30041-9792
Phone
(470) 866-3200
Fax
(470) 866-3270
NPI assigned
Aug 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Dr. Padmavathi V Pagadala, MDNPI 1174683544
Title
Owner
Phone
(470) 866-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

566 Peachtree Pkwy Ste 121
Cumming, GA 30041-9792

Mailing address

566 Peachtree Pkwy Ste 121
Cumming, GA 30041-9792
Phone (470) 866-3200

Other names 1

  • Maa Womens Health LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250129001607 GA Part B Supplier - Clinic/Group Practice 7810426327 Practice locations: Cumming, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2313065Maa Womens Health566 Peachtree Parkway, Suite 121, Cumming, GA 30041Provider-performed microscopyOct 23, 2026

National Provider Directory

National Provider Directory

Locations

566 Peachtree Pkwy
Ste 121
Cumming, GA 30041
Phone (470) 866-3200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1750112926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 PEACHTREE PKWY STE 121",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419792",
            "telephone_number": "470-866-3200",
            "fax_number": "470-866-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 PEACHTREE PKWY STE 121",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419792",
            "telephone_number": "470-866-3200",
            "fax_number": "470-866-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAA WOMENS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "PAGADALA",
        "authorized_official_first_name": "PADMAVATHI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-866-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maa Womens Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.