1. Home
  2. Directory
  3. Georgia
  4. Cumming
  5. Family Medicine
  6. NPI Profile

DR. SWACHITHA KOTHAPALLY MD
NPI 1366850588
Family Medicine in Cumming, GA

Active since July 31, 2014PECOS EnrolledAccepts Medicare Assignment
3850 WINDERMERE PKWY, STE 105, CUMMING, GA 30041(678) 455-2800(770) 888-9998 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Swachitha Kothapally Md NPPES

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

DR. SWACHITHA KOTHAPALLY MD (NPI 1366850588) is an individual family medicine provider in Cumming, Georgia, licensed in Georgia (077170) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1366850588
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SWACHITHA KOTHAPALLYCredential: MD
Location Address3850 WINDERMERE PKWY, STE 105Cumming, GA 30041-7002
Mailing Address3850 Windermere Pkwy, Ste 105Cumming, GA 30041-7002 · (678) 455-2800 · Fax (770) 888-9998
Phone(678) 455-2800
Fax(770) 888-9998
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 31, 2014
Last NPPES UpdateApril 11, 2017
✔ NPI 1366850588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 077170
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3850 WINDERMERE PKWY, Cumming, GA 30041
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Swachitha Kothapally 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 ID9133425523
PECOS Enrollment IDI20170613000606
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.

Areas of Expertise CMS Part B claims 7

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.
256 services105 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
107 services67 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
41 services41 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
19 services11 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

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
$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 6

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

MRS. KATY HANAFORD FNP-C
Nurse Practitioner (Family)
3850 WINDERMERE PKWY, SUITE 105
CUMMING, GA 30041
Forsyth County (678) 455-2800
LOREN GOLDEN CRNP
Nurse Practitioner (Family)
3850 WINDERMERE PKWY
CUMMING, GA 30041
Forsyth County (678) 845-5280
DR. PRIYA VAMSI BAYYAPUREDDY M.D.
Internal Medicine
3850 WINDERMERE PKWY, SUITE# 105
CUMMING, GA 30041
Forsyth County (678) 455-2800
VICTFORCE, INC
Internal Medicine
3850 WINDERMERE PKWY, SUITE #105
CUMMING, GA 30041
Forsyth County (404) 374-1796
JIHYE HAN PA
Physician Assistant
3850 WINDERMERE PKWY, STE 105
CUMMING, GA 30041
Forsyth County (678) 455-2800
DR. RANI PATIL MD
Family Medicine
3850 WINDERMERE PKWY, STE 105
CUMMING, GA 30041
Forsyth County (678) 455-2800

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 Swachitha Kothapally's NPI number?

The NPI number for Swachitha Kothapally is 1366850588. It was assigned to this individual provider in the NPPES registry on July 31, 2014.

Where is Swachitha Kothapally located?

Swachitha Kothapally practices at 3850 Windermere Pkwy Ste 105, Cumming, GA 30041. The listed phone number is (678) 455-2800.

What is Swachitha Kothapally's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Swachitha Kothapally enrolled in Medicare?

Yes. Swachitha Kothapally 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.

What insurance does Swachitha Kothapally accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Swachitha Kothapally 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.

Is Swachitha Kothapally affiliated with any hospitals?

According to CMS data, Swachitha Kothapally is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Swachitha Kothapally was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.