Pavan Tummala, MD - Medicare Neurology in Gainesville, GA

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Pavan Tummala, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Gainesville, Georgia. He graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Scl Health Montana, Northeast Georgia Physicians Group 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
Experience23 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: I20241104003144

Medical Identifiers

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

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
Georgia Home HealthAtlanta, GAHome health agency
Northeast Georgia Medical Center, IncGainesville, GAHospital
Intermountain Health St Vincent Regional HospitalBillings, MTHospital
Northeast Georgia Medical Center BarrowWinder, GAHospital
Intermountain Health St James HospitalButte, MTHospital
Northeast Georgia Medical Center LumpkinDahlonega, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scl Health Montana347645771438
Northeast Georgia Physicians Group Inc6901898386884

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 NameScl Health Montana
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083655997
PECOS PAC ID: 3476457714
Enrollment ID: O20031229000380
Entity NameScl Health Medical Group - Billings LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508289703
PECOS PAC ID: 9638491574
Enrollment ID: O20141204001495

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

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Dr. Jackson Campbell Hortenstine, MD
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Dr. Clinton Emmitt Branch Jr., M.D., F.A.A.N.
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Practice Location: 1240 Jesse Jewell Pkwy Se, Suite 400, Gainesville, GA 30501
Phone: 770-534-1117    Fax: 770-503-7285

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.