1. Home
  2. Directory
  3. Georgia
  4. Cumming
  5. Plastic Surgery
  6. NPI Profile

DR. PALLAVI ARCHANA KUMBLA MD
NPI 1134462534
Plastic Surgery in Cumming, GA

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 240, CUMMING, GA 30040(678) 931-8874 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Pallavi Archana Kumbla Md NPPES

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

DR. PALLAVI ARCHANA KUMBLA MD (NPI 1134462534) is an individual plastic surgery provider in Cumming, Georgia, licensed in Georgia (90934) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2013).

NPPES Registry Identity

NPI1134462534
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameDR. PALLAVI ARCHANA KUMBLACredential: MD
Location Address4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 240Cumming, GA 30040-3004
Mailing Address4150 Deputy Bill Cantrell Memorial Road, Suite 240Cumming, GA 30040 · (678) 931-8874
Phone(678) 931-8874
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 21, 2023
✔ NPI 1134462534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in GA · 90934
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, Cumming, GA 30040
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Dr. Pallavi Archana Kumbla 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.

PECOS PAC ID9830417401
PECOS Enrollment IDI20240117001786
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Pallavi Kumbla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prima Center For Plastic Surgery PC
11 mi
Specialist
3096 PEACHTREE INDUSTRIAL BLVD
Duluth, GA 30097
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1114065935 (770) 495-1477

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 30040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ALYSSA JORDAN FISCHER AUD
Audiologist
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, UNIT 260
CUMMING, GA 30040
Forsyth County (770) 292-3045
GEORGIA UROLOGY PA
Urology
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 140B
CUMMING, GA 30040
Forsyth County (770) 889-9737
JESSICA SUMMERS RBT
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Forsyth County (470) 839-3041
RACHEL RINALDI BCBA, MS
Behavior Analyst
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Forsyth County (470) 839-3041
HALLIE RADLER RBT
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD
CUMMING, GA 30040
Forsyth County (470) 839-3041
SOPHIA HUCK RBT
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Forsyth County (470) 839-3041
ALEXIS JOVANN MENDEZ MA, BCBA
Behavior Analyst
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Forsyth County (470) 839-3041
PARKER CHASE RIGSBY PT, DPT
Physical Therapist
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 350
CUMMING, GA 30040
Forsyth County (678) 341-6790

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 Pallavi Kumbla's NPI number?

The NPI number for Pallavi Kumbla is 1134462534. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Pallavi Kumbla located?

Pallavi Kumbla practices at 4150 Deputy Bill Cantrell Memorial Road Suite 240, Cumming, GA 30040. The listed phone number is (678) 931-8874.

What is Pallavi Kumbla's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Pallavi Kumbla enrolled in Medicare?

Yes. Pallavi Kumbla 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 Pallavi Kumbla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pallavi Kumbla reassigns Medicare benefits to Prima Center For Plastic Surgery PC (Duluth, 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 Pallavi Kumbla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pallavi Kumbla accept?

Health plans from Oscar Health list Pallavi Kumbla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pallavi Kumbla was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.