Individual provider Active NPI

Padma Rekha Koukuntla, MD

  • Internal Medicine Physician
  • Sandy Springs, GA
National Provider Identifier
1972891463
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
77417 Issued in GA
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

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170516001618 GA Practitioner - Internal Medicine 8527286491 Reassigns benefits to 4 organizations
I20240417001656 AL Practitioner - Internal Medicine 8527286491 Reassigns benefits to 1 organization

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
Adventist Health System Georgia IncGroup PAC ID 4486568037, 247 clinicians
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians

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 100Reported as group
Quality
68.23
Promoting interoperability
100
Improvement activities
40
Cost
74.67

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
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

LicenseStateTypeSpecialty
42633ALMDInternal Medicine Physician
77417GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Alabama-TCG, Inc. Internal Medicine CurrentSince May 26, 2021 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Mar 6, 2017 Accepting new patients
Rapd Care LLC Internal Medicine CurrentSince Feb 20, 2026 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Jan 25, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas-TCG, PLLC Internal Medicine CurrentSince May 26, 2021 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Mar 6, 2017 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

  • Direct secure messaging: padma.koukuntla.1@27690.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.