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GEORGIA WOUNDCARE MD LLC
NPI 1063231645
Internal Medicine in Cumming, GA

Active since October 09, 2024
1165 SANDERS RD, CUMMING, GA 30041(210) 379-8553 Get Directions Write a Review

NPPES record last updated: March 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2025, Mar 16, 2025, Oct 9, 2024 (3 updates tracked since 2024).

About Georgia Woundcare Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIA WOUNDCARE MD LLC (NPI 1063231645) is a healthcare organization registered as an internal medicine in Cumming, Georgia and active in the NPI registry since October 2024. The organization maintains 2 additional practice locations and lists Kishore Rasamallu, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1063231645
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGEORGIA WOUNDCARE MD LLC
Location Address1165 SANDERS RDCumming, GA 30041-5965
Mailing Address8000 Avalon Blvd Ste 100Alpharetta, GA 30009-2469 · (210) 379-8553
Phone(210) 379-8553
Organization SubpartNo
Authorized OfficialKishore RasamalluMd/owner · (210) 379-8553
Enumeration DateOctober 9, 2024
Last NPPES UpdateMarch 30, 20253 updates tracked since enumeration
NPPES CertifiedMarch 30, 2025
✔ NPI 1063231645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1165 SANDERS RD, Cumming, GA 30041
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Secondary Practice Locations 2

Location 18000 Avalon Blvd Ste 100Alpharetta, GA 30009-2469 · Phone (210) 379-8553
Location 21968 Peachtree Rd NW Fl 6Atlanta, GA 30309-1281 · Phone (210) 379-8553

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Woundcare Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Georgia Woundcare MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thammi Raju Vegiraju, M.D.
Internal Medicine
NPI 1356611958
960 JOE FRANK HARRIS PKWY SE
Cartersville, GA 30120
(470) 490-2142
✔ PECOS38 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgia Woundcare MD LLC's NPI number?

The NPI number for Georgia Woundcare MD LLC is 1063231645. It was assigned to this organization in the NPPES registry on October 9, 2024.

Where is Georgia Woundcare MD LLC located?

Georgia Woundcare MD LLC is located at 1165 Sanders Rd, Cumming, GA 30041. The listed phone number is (210) 379-8553.

What is Georgia Woundcare MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Georgia Woundcare MD LLC enrolled in Medicare?

Yes. Georgia Woundcare MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Woundcare MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Georgia Woundcare MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Georgia Woundcare MD LLC was last updated on March 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.