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

Q: 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.

Q: What is Mamatha Gavini's specialty?

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

Q: 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.

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: October 25, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

The Southeast Permanente Medical Group

6.0 mi

Internal Medicine

3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305

Reassigned Medicare billing, Georgia enrollment
1,389 clinicians in this Medicare group

NPI 1245266956 (404) 364-3821

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 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.

Which organization bills Medicare for Mamatha Gavini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamatha Gavini 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 Mamatha Gavini'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 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.