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DR. MAMATHA GAVINI M.D.
NPI 1316073695
Pediatrics in Atlanta, GA

Active since February 23, 2007PECOS Enrolled
20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL OFFICE, ATLANTA, GA 30328(770) 677-6037 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mamatha Gavini M.d. NPPES

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

DR. MAMATHA GAVINI M.D. (NPI 1316073695) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (054888) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316073695
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MAMATHA GAVINICredential: M.D.
Location Address20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL OFFICEAtlanta, GA 30328-3473
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7070
Phone(770) 677-6037
Sole ProprietorNo
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJanuary 7, 2022
✔ NPI 1316073695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 054888
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedSpecialistTaxonomy 174400000X · License 054888 (GA)
20 GLENLAKE PKWY, Atlanta, GA 30328
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mamatha Gavini M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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. MICHAEL DOUGLAS HELLSTROM MD
Otolaryngology
20 GLENLAKE PKWY, KAISER PERMANENTE MEDICAL GROUP GLENLAKE
ATLANTA, GA 30328
Fulton County (404) 365-0966
DR. ALAN MARC WEINBERG M.D.
Psychiatry & Neurology (Psychiatry)
20 GLENLAKE PKWY, DEPT OF BEHAVIORAL HEALTH
ATLANTA, GA 30328
Fulton County (404) 365-0966
MRS. EVA RIKER M.D.
Radiology (Diagnostic Radiology)
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (404) 364-7243
DR. VARUN GUPTA MD
Plastic Surgery
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (404) 365-0966
DR. KHALID A SHASH MD
Internal Medicine (Cardiovascular Disease)
20 GLENLAKE PKWY, KAISER PERMANETE GLENLAKE MEDICAL CENTER
ATLANTA, GA 30328
Fulton County (617) 629-6000
DR. LILLIAN KIM IVANSCO M.D., M.P.H.
Radiology (Diagnostic Radiology)
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (404) 364-7285
SHAWNA LEE WATSON M.D.
Orthopaedic Surgery
20 GLENLAKE PKWY
SANDY SPRINGS, GA 30328
Fulton County (470) 698-6488
MRS. CHERYL SUE ARNSON MA
Audiologist
20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER
ATLANTA, GA 30328
Fulton County (770) 667-6154

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 Mamatha Gavini's NPI number?

The NPI number for Mamatha Gavini is 1316073695. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Mamatha Gavini located?

Mamatha Gavini practices at 20 Glenlake Pkwy Kaiser Permanente Glenlake Medical Office, Atlanta, GA 30328. The listed phone number is (770) 677-6037.

What is Mamatha Gavini's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mamatha Gavini enrolled in Medicare?

Yes. Mamatha Gavini is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mamatha Gavini was last updated on January 7, 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.