DR. KALPANA R PRASAD MD
NPI 1346371622
Psychiatry & Neurology - Psychiatry in Gainesville, GA

Q: What is Kalpana Prasad's NPI number?

The NPI number for Kalpana Prasad is 1346371622. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Q: What is Kalpana Prasad's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kalpana Prasad was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 08, 2007PECOS Enrolled

82.55/100

CMS Quality Rating

200 WISTERIA DR, GAINESVILLE, GA 30501(770) 219-5407 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 15, 2021, Aug 14, 2020 (2 updates tracked since 2020).

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About Dr. Kalpana R Prasad Md NPPES

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

DR. KALPANA R PRASAD MD (NPI 1346371622) is an individual psychiatry provider in Gainesville, Georgia, licensed in Georgia (74760) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bryn Mawr.

NPPES Registry Identity

NPI1346371622

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. KALPANA R PRASADCredential: MD

Location Address200 WISTERIA DRGainesville, GA 30501-3827

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420

Phone(770) 219-5407

Sole ProprietorNo

Enumeration DateMarch 8, 2007

Last NPPES UpdateFebruary 15, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2021

✔ NPI 1346371622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in GA · 74760✔ Licensed in PA · MD072673L

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

200 WISTERIA DR, Gainesville, GA 30501

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Secondary Practice Location 1

Location 1130 S Bryn Mawr Ave, Psychiatric UnitBryn Mawr, PA 19010-3121 · Phone (484) 337-4286 · Fax (484) 337-4293

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kalpana R Prasad Md 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 Kalpana Prasad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Georgia Physicians Group Inc

0.2 mi

Family Medicine

743 SPRING ST NE
Gainesville, GA 30501

Reassigned Medicare billing, Georgia enrollment
1,172 clinicians in this Medicare group

NPI 1891745212 (770) 219-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

89 services32 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

18 services15 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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

$164.04 typical visit price

range $53.31 – $164.04

Typical copayment $41.01 (range $13.32 – $41.01)

Most-billed visit code 99205

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

82.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.14

Promoting Interoperability

100

Improvement Activities

Cost

60.7

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. MOONPREET SINGH DEOL MD

Student in an Organized Health Care Education/Training Program