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DAVID KAVTARADZE MD INC
NPI 1386959179
Internal Medicine in Cordele, GA

Active since August 17, 2010
902 N 7TH ST # 100, CORDELE, GA 31015(229) 276-2286 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David Kavtaradze Md Inc NPPES

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

DAVID KAVTARADZE MD INC (NPI 1386959179) is a healthcare organization registered as an internal medicine in Cordele, Georgia and active in the NPI registry since August 2010. The organization maintains a secondary practice location in Cordele and lists David Kavtaradze, Owner, as its authorized official.

NPPES Registry Identity

NPI1386959179
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDAVID KAVTARADZE MD INC
Location Address902 N 7TH ST # 100Cordele, GA 31015-3234
Mailing Address1008 N 7th StCordele, GA 31015-3761 · (229) 271-4608 · Fax (229) 271-4609
Phone(229) 276-2286
Organization SubpartNo
Authorized OfficialDavid KavtaradzeOwner · (229) 271-4608
Enumeration DateAugust 17, 2010
Last NPPES UpdateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
✔ NPI 1386959179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 051148
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 051148 (GA)
902 N 7TH ST # 100, Cordele, GA 31015
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Secondary Practice Location 1

Location 11008 N 7th StCordele, GA 31015-3761 · Phone (229) 271-4608 · Fax (229) 271-4609

Other Identifiers 1

Medicaid000976214DGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Kavtaradze Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David Kavtaradze MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Kavtaradze, M.D.
Internal Medicine
NPI 1376516484
902 N 7TH ST
Cordele, GA 31015
(229) 276-3100
✔ PECOS✔ Accepts MedicareSame address

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

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 MD Inc's NPI number?

The NPI number for David Kavtaradze MD Inc is 1386959179. It was assigned to this organization in the NPPES registry on August 17, 2010.

Where is David Kavtaradze MD Inc located?

David Kavtaradze MD Inc is located at 902 N 7th St # 100, Cordele, GA 31015. The listed phone number is (229) 276-2286.

What is David Kavtaradze MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Kavtaradze MD Inc enrolled in Medicare?

Yes. David Kavtaradze MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David Kavtaradze MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to David Kavtaradze MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does David Kavtaradze MD Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list David Kavtaradze MD Inc 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.

When was this NPI record last updated?

The NPPES record for David Kavtaradze MD Inc was last updated on March 19, 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.