DAVID KAVTARADZE M.D.
NPI 1376516484
Internal Medicine in Cordele, GA
About David Kavtaradze M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID KAVTARADZE M.D. (NPI 1376516484) is an individual internal medicine provider in Cordele, Georgia, licensed in Georgia (051148) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds 2 active CLIA laboratory certificates, and is affiliated with Phoebe Sumter Medical Center.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
David Kavtaradze 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.
Medicare Billing Reassignments
2Medicare enrollment records show David Kavtaradze reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cordele, GA 31015
- Reassigned Medicare billing, Georgia enrollment
Cordele, GA 31010
- Reassigned Medicare billing, Georgia enrollment
- 124 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D1009198
David Kavtaradze, MD · Cordele, GACertificate of Waiver 11D2330135
David Kavtaradze, MD Inc · Cordele, GAAreas of Expertise CMS Part B claims 35
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Phoebe Sumter Medical Center
Acute Care Hospitals · Americus, GACrisp Regional Hospital
Acute Care Hospitals · Cordele, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 17
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
CORDELE, GA 31015
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 David Kavtaradze's NPI number?
The NPI number for David Kavtaradze is 1376516484. It was assigned to this individual provider in the NPPES registry on February 9, 2006.
Where is David Kavtaradze located?
David Kavtaradze practices at 902 N 7th St, Cordele, GA 31015. The listed phone number is (229) 276-3100.
What is David Kavtaradze's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is David Kavtaradze enrolled in Medicare?
Yes. David Kavtaradze 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 David Kavtaradze's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Kavtaradze reassigns Medicare benefits to 2 organizations: David Kavtaradze MD Inc (Cordele, GA) and Crisp Regional Hospital Inc (Cordele, 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 David Kavtaradze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Does David Kavtaradze hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does David Kavtaradze 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 David Kavtaradze 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 David Kavtaradze affiliated with any hospitals?
According to CMS data, David Kavtaradze is affiliated with Phoebe Sumter Medical Center and Crisp Regional Hospital.
When was this NPI record last updated?
The NPPES record for David Kavtaradze was last updated on February 26, 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.