Pavan Kumar Mamilla, M.D
NPI 1417188103 · Family Medicine Physician · Alpharetta, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pavan Kumar Mamilla, M.D is a Family Medicine Physician provider in Alpharetta, GA (NPI 1417188103).
Provider details
- NPI number
- 1417188103
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- MD.33421 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
902 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 156 | $126 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 130 | $89 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 129 | $16 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 120 | $62 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes99457 | 81 | $48 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 68 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 186 | 61 |
| Amlodipine Besylate | 116 | 33 |
| Tamsulosin Hcl | 95 | 32 |
| Metformin Hcl | 90 | 24 |
| Losartan Potassium | 79 | 23 |
| Levothyroxine Sodium | 75 | 22 |
| Rosuvastatin Calcium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$741 across 37 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-29
- Last updated
- 2023-11-02
- Certified
- 2023-11-02
Frequently asked questions
- What is Pavan Kumar Mamilla's NPI number?
- Pavan Kumar Mamilla's National Provider Identifier (NPI) is 1417188103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pavan Kumar Mamilla's specialty?
- Pavan Kumar Mamilla is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pavan Kumar Mamilla located?
- Pavan Kumar Mamilla's practice location on file with NPPES is 11379 Southbridge Pkwy Ste a, Alpharetta, GA 30022-4402.
- What is Pavan Kumar Mamilla's phone number?
- The practice phone number listed in the NPPES registry for Pavan Kumar Mamilla is (770) 777-0750.
- Does Pavan Kumar Mamilla accept Medicare?
- Pavan Kumar Mamilla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pavan Kumar Mamilla's NPI active?
- Yes — Pavan Kumar Mamilla's NPI (1417188103) is active in the NPPES registry as of the last update on 2023-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.