VAIDARBHI NARASA KOLAVENNU MD
NPI 1093901712
Family Medicine in Atlanta, GA
About Vaidarbhi Narasa Kolavennu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VAIDARBHI NARASA KOLAVENNU MD (NPI 1093901712) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (059989) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Vaidarbhi Narasa Kolavennu Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Vaidarbhi Kolavennu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30339 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30339
ATLANTA, GA 30339
ATLANTA, GA 30339
ATLANTA, GA 30339
ATLANTA, GA 30339
ATLANTA, GA 30339
ATLANTA, GA 30339
ATLANTA, GA 30339
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 Vaidarbhi Kolavennu's NPI number?
The NPI number for Vaidarbhi Kolavennu is 1093901712. It was assigned to this individual provider in the NPPES registry on September 16, 2007.
Where is Vaidarbhi Kolavennu located?
Vaidarbhi Kolavennu practices at 2525 Cumberland Pkwy SE Department Of Internal Medicine After Hours Care, Atlanta, GA 30339. The listed phone number is (770) 431-4235.
What is Vaidarbhi Kolavennu's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Vaidarbhi Kolavennu enrolled in Medicare?
Yes. Vaidarbhi Kolavennu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Vaidarbhi Kolavennu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vaidarbhi Kolavennu reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The 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 Vaidarbhi Kolavennu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Vaidarbhi Kolavennu was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Vaidarbhi Narasa Kolavennu, MD · NPI 1093901712
Family Medicine physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since September 16, 2007.
## Identity
- **NPI:** 1093901712 (Entity type: Individual)
- **Enumerated:** September 16, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 059989 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2525 CUMBERLAND PKWY SE, DEPARTMENT OF INTERNAL MEDICINE AFTER HOURS CARE, Atlanta, GA 30339-3915
- **Phone:** (770) 431-4235
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** January 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093901712) · Data from the CMS NPPES public registry.