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MRS. PADMAVATHI V. PAGADALA M.D.
NPI 1174683544
Obstetrics & Gynecology in Cumming, GA

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
31.93/100
CMS Quality Rating
566 PEACHTREE PKWY, CUMMING, GA 30041(470) 866-3200(470) 866-3270 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2025, Dec 13, 2024, May 23, 2019 (3 updates tracked since 2019).

About Mrs. Padmavathi V. Pagadala M.d. NPPES

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

MRS. PADMAVATHI V. PAGADALA M.D. (NPI 1174683544) is an individual obstetrics & gynecology provider in Cumming, Georgia, licensed in Georgia (081621) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1174683544
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMRS. PADMAVATHI V. PAGADALACredential: M.D.
Location Address566 PEACHTREE PKWYCumming, GA 30041-9792
Mailing Address566 Peachtree Pkwy Ste 121Cumming, GA 30041-9792 · (470) 866-3200 · Fax (470) 866-3270
Phone(470) 866-3200
Fax(470) 866-3270
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 8, 2006
Last NPPES UpdateApril 4, 20253 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1174683544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 081621
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
566 PEACHTREE PKWY, Cumming, GA 30041
Open in Google Maps ↗

Other Names 1

Former Name (1)Padmavathi V Gajula

Other Identifiers 2

Medicaid00312955AGA
Other98734IL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Mrs. Padmavathi V. Pagadala M.d. 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 ID4880750488
PECOS Enrollment IDI20181211003742
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 Reassignments

5

Medicare enrollment records show Padmavathi Pagadala reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gwinnett Physician Group, LLC
16 mi
Internal Medicine
1000 MEDICAL CENTER BLVD, MOB 100 SUITE 210
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 275 clinicians in this Medicare group
NPI 1578574661 (855) 709-4535
Northside Surgical Professional Services LLC
20 mi
Surgery
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 487 clinicians in this Medicare group
NPI 1356630990 (855) 709-4535
Obhg Georgia, P.C.
46 mi
Obstetrics & Gynecology
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
NPI 1750686838 (800) 967-2289
Dhp Of Piedmont PC
52 mi
Obstetrics & Gynecology
1255 HIGHWAY 54 W
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 67 clinicians in this Medicare group
NPI 1316202609 (770) 719-7000
Dr. Bolanle Sogade M.D. LLC
96 mi
Obstetrics
639 HEMLOCK ST, SUITE 101
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
NPI 1689857542 (478) 745-3014

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 30041 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

31.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality14.69
Promoting Interoperability0
Improvement Activities20
Cost66.76

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICOLE BROWNING
Counselor (Mental Health)
566 PEACHTREE PKWY
CUMMING, GA 30041
Forsyth County (407) 312-3600

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 Padmavathi Pagadala's NPI number?

The NPI number for Padmavathi Pagadala is 1174683544. It was assigned to this individual provider in the NPPES registry on December 8, 2006. The provider is also known as Padmavathi V Gajula.

Where is Padmavathi Pagadala located?

Padmavathi Pagadala practices at 566 Peachtree Pkwy, Cumming, GA 30041. The listed phone number is (470) 866-3200.

What is Padmavathi Pagadala's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Padmavathi Pagadala enrolled in Medicare?

Yes. Padmavathi Pagadala 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 organizations bill Medicare for Padmavathi Pagadala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Padmavathi Pagadala reassigns Medicare benefits to 5 organizations: Gwinnett Physician Group, LLC (Lawrenceville, GA), Northside Surgical Professional Services LLC (Atlanta, GA), Obhg Georgia, P.C. (Athens, GA), Dhp Of Piedmont PC (Fayetteville, GA) and Dr. Bolanle Sogade M.D. LLC (Macon, GA). Each 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 Padmavathi Pagadala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Padmavathi Pagadala accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Padmavathi Pagadala 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 Padmavathi Pagadala was last updated on April 4, 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.