Active NPI
Padma Rekha Koukuntla, MD
- Internal Medicine Physician
- Sandy Springs, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 77417
- Practice address
- 1300 Altmore Ave Ste 175
Sandy Springs, GA 30342-2598 - Phone
- (404) 905-5680
- Fax
- (770) 764-0077
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 276458 | NY | |
| Internal Medicine Physician | 207R00000X | ME 128519 | FL | |
| Internal Medicine Physician | 207R00000X | 276458 | NY | |
| Internal Medicine Physician | 207R00000X | 77417 | GA | Primary |
| Internal Medicine Physician | 207R00000X | 42633 | AL |
Addresses
Primary practice location
1300 Altmore Ave Ste 175
Sandy Springs, GA 30342-2598
Mailing address
1300 Altmore Ave Ste 175
Sandy Springs, GA 30342-2598
Phone (404) 905-5680
Other practice location 1
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000
Other practice location 2
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL
- 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
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Phone (706) 602-7800
1300 Altmore Ave
Suite 175
Sandy Springs, GA 30342-2598
Phone (404) 905-5680
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-4340
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.79 of 100
- Quality
- 68.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.67
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 77.5
- Improvement activities
- 40
- Cost
- 74.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42633 | AL | MD | Internal Medicine Physician |
| 77417 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Alabama-TCG, Inc. | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
| Rapd Care LLC | Internal Medicine | Current | Accepting new patients |
| Adventist Health System Georgia Inc | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas-TCG, PLLC | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| Adventist Health System Georgia, Inc. | Past | Accepting new patients | |
| Floyd Healthcare Management Inc | Past | Accepting new patients | |
| HH Health System - Dekalb, LLC | Past | Accepting new patients |
Locations
200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
1300 Altmore Ave
Ste 175
Sandy Springs, GA 30342
Phone (404) 905-5680
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Interoperability endpoints
- padma.koukuntla.1@27690.direct.athenahealth.com
- pkoukuntla1198270@adventhealth.direct-ci.com
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.
-
- Hospitalist Physician
- Rome, GA
- NPI 1912956251
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Calhoun, GA
- NPI 1699791343
-
dba Wellnest MD
- General Practice Physician
- Sandy Springs, GA
- NPI 1851263750
Internal Medicine
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1144709601
AL
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
- Internal Medicine Physician
- Houston, TX
- NPI 1902384464
-
dba AdventHealth Gordon
- General Acute Care Hospital
- Calhoun, GA
- NPI 1760402424
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
-
dba DeKalb Regional Medical Center
- General Acute Care Hospital
- Fort Payne, AL
- NPI 1770344665
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Murray
- General Acute Care Hospital
- Chatsworth, GA
- NPI 1750776571
-
dba AdventHealth Gordon
- General Acute Care Hospital
- Calhoun, GA
- NPI 1760402424
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1972891463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 ALTMORE AVE STE 175",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303422598",
"telephone_number": "404-905-5680",
"fax_number": "770-764-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 ALTMORE AVE STE 175",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303422598",
"telephone_number": "404-905-5680",
"fax_number": "770-764-0077"
}
],
"practiceLocations": [
{
"address_1": "1000 Johnson Ferry Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421606",
"country_code": "US",
"telephone_number": "404-851-8000",
"fax_number": "404-303-3759",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "304 Turner McCall Blvd SW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301655621",
"country_code": "US",
"telephone_number": "706-509-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOUKUNTLA",
"first_name": "PADMA REKHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "276458",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 128519",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "276458",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "77417",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "42633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.