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DR. PRANAM KOKILAKUMAR
NPI 1376938696
Family Medicine in Aiken, SC

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
3515 RICHLAND AVE, AIKEN, SC 29801(803) 642-2626(803) 642-2960 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 17, 2020, Oct 29, 2018, Mar 16, 2018 (3 updates tracked since 2018).

About Dr. Pranam Kokilakumar NPPES

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

DR. PRANAM KOKILAKUMAR (NPI 1376938696) is an individual family medicine provider in Aiken, South Carolina, licensed in Georgia (078841) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376938696
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PRANAM KOKILAKUMAR
Location Address3515 RICHLAND AVEAiken, SC 29801
Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 774-7263 · Fax (700) 677-4723
Phone(803) 642-2626
Fax(803) 642-2960
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 2, 2015
Last NPPES UpdateJune 17, 20203 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1376938696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 078841
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.
3515 RICHLAND AVE, Aiken, SC 29801
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Secondary Practice Locations 2

Location 1233 N Houston Rd Ste 140EWarner Robins, GA 31093-3023 · Phone (478) 975-6880
Location 21100 W Lake Commons DrMartinez, GA 30907-7932 · Phone (706) 228-2565 · Fax (706) 868-1405

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pranam Kokilakumar 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 ID2567746274
PECOS Enrollment IDI20180905003725
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 Reassignments

5

Medicare enrollment records show Pranam Kokilakumar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southland Cochran Emergency Medical Services, LLC
122 mi
Emergency Medicine
145 PEACOCK ST.
Cocharan, GA 31014
  • Reassigned Medicare billing, Georgia enrollment
  • 52 clinicians in this Medicare group
NPI 1205241395 (478) 934-6211
Southland Emergency Medical Services Consolidated, LLC
123 mi
Hospitalist
145 E PEACOCK ST
Cochran, GA 31014
  • Reassigned Medicare billing, Georgia enrollment
  • 155 clinicians in this Medicare group
NPI 1033464391 (478) 934-6211
Piedmont Professional Services, LLC
143 mi
Nephrology
1855 HUDSON BRIDGE RD
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 565 clinicians in this Medicare group
NPI 1104088905 (770) 801-2500
Piedmont Medical Care Corporation
150 mi
Internal Medicine
240 N HIGHLAND AVE NE STE F
Atlanta, GA 30307
  • Reassigned Medicare billing, Georgia enrollment
  • 427 clinicians in this Medicare group
NPI 1912956046 (404) 658-9840
Piedmont Providers LLC
168 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500

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 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.
300 services151 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.
106 services106 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
48 services29 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
43 services29 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.
40 services40 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

University Mcduffie County Regional Medical Center

Acute Care Hospitals · Thomson, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110111
Location2460 Washington RoadThomson, GA 30824 · Mc Duffie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29801 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims36 services$4.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MISS TIMBER WAGES MUNOZ PA-C
Physician Assistant (Medical)
3515 RICHLAND AVE
AIKEN, SC 29801
Aiken County (803) 642-2626
MRS. BRANDI NICOLE PLEMING FNP
Nurse Practitioner (Family)
3515 RICHLAND AVE
AIKEN, SC 29801
Aiken County (803) 642-2626

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 Pranam Kokilakumar's NPI number?

The NPI number for Pranam Kokilakumar is 1376938696. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Pranam Kokilakumar located?

Pranam Kokilakumar practices at 3515 Richland Ave, Aiken, SC 29801. The listed phone number is (803) 642-2626.

What is Pranam Kokilakumar's specialty?

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

Is Pranam Kokilakumar enrolled in Medicare?

Yes. Pranam Kokilakumar 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 Pranam Kokilakumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pranam Kokilakumar reassigns Medicare benefits to 5 organizations: Southland Cochran Emergency Medical Services, LLC (Cocharan, GA), Southland Emergency Medical Services Consolidated, LLC (Cochran, GA), Piedmont Professional Services, LLC (Stockbridge, GA), Piedmont Medical Care Corporation (Atlanta, GA) and Piedmont Providers LLC (Jasper, 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 Pranam Kokilakumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pranam Kokilakumar accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Pranam Kokilakumar 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 Pranam Kokilakumar affiliated with any hospitals?

According to CMS data, Pranam Kokilakumar is affiliated with Piedmont Augusta Hospital, Au Medical Center and University Mcduffie County Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Pranam Kokilakumar was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.