Pavan Tummala, MD - Medicare Neurology in Gainesville, GA

Pavan Tummala, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Gainesville, Georgia. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Northeast Georgia Physicians Group Inc, Upmc Altoona Regional Health Services, Inc. and his current practice location is 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 219-6520.

Pavan Tummala is licensed to practice in Georgia (license number 96271) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407111313.

Contact Information

Pavan Tummala, MD
1315 Jesse Jewell Pkwy Ne Ste 300,
Gainesville, GA 30501-3875
(770) 219-6520
Not Available

Map and Direction




Physician's Profile

Full NamePavan Tummala
GenderMale
SpecialityNeurology
Experience21 Years
Location1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Pavan Tummala graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1407111313
  • Provider Enumeration Date: 07/06/2012
  • Last Update Date: 10/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234431610
  • Enrollment ID: I20230802002461

Medical Identifiers

Medical identifiers for Pavan Tummala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407111313NPI-NPPES
200028679MedicaidMO
1407111313MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 2016026000 (Missouri)Secondary
2084N0400XPsychiatry & Neurology - Neurology 96271 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northeast Georgia Medical Center, IncGainesville, GAHospital
Cox Medical CentersSpringfield, MOHospital
Upmc AltoonaAltoona, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Georgia Physicians Group Inc6901898386651
Upmc Altoona Regional Health Services, Inc.5395659312203

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Pavan Tummala allows following entities to bill medicare on his behalf.
Entity NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pavan Tummala is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pavan Tummala, MD
Po Box 742616,
Atlanta, GA 30374-2616

Ph: (770) 219-8420
Pavan Tummala, MD
1315 Jesse Jewell Pkwy Ne Ste 300,
Gainesville, GA 30501-3875

Ph: (770) 219-6520

Reviews and Comments


Psychiatry & Neurology Doctors in Gainesville, GA

Dr. Polina P Shvarts, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 500 Jesse Jewell Pkwy Se, Ste 207, Gainesville, GA 30501
Phone: 770-718-9790    Fax: 888-504-7955
Pamela Ann Pacquiao, MD
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Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-219-6000    
Mahitha Kolli, MD
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Practice Location: 200 Wisteria Dr, Gainesville, GA 30501
Phone: 770-219-5407    
Deepti C Challagolla, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 200 Wisteria Dr, Gainesville, GA 30501
Phone: 770-219-5407    
Dr. Clinton Emmitt Branch Jr., M.D., F.A.A.N.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1240 Jesse Jewell Pkwy Se, Suite 400, Gainesville, GA 30501
Phone: 770-534-1117    Fax: 770-503-7285
John Frontera, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1315 Jesse Jewell Parkway, Gainesville, GA 30501
Phone: 770-219-6520    Fax: 770-219-6521
Dr. Manjunath Markandaya, MBBS, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-219-9000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.