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

JEEVANA KRISHNA M.D.
NPI 1528020575
Family Medicine in Cumming, GA

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
42.5/100
CMS Quality Rating
765 LANIER 400 PKWY, CUMMING, GA 30040(770) 205-1294(770) 205-1783 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2021, Dec 22, 2016 (2 updates tracked since 2016).

About Jeevana Krishna M.d. NPPES

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

JEEVANA KRISHNA M.D. (NPI 1528020575) is an individual family medicine provider in Cumming, Georgia, licensed in Georgia (032759) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1528020575
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJEEVANA KRISHNACredential: M.D.
Location Address765 LANIER 400 PKWYCumming, GA 30040-2539
Mailing Address765 Lanier 400 PkwyCumming, GA 30040-2539 · (770) 205-1294 · Fax (770) 205-1783
Phone(770) 205-1294
Fax(770) 205-1783
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateApril 5, 2006
Last NPPES UpdateFebruary 26, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
✔ NPI 1528020575 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 · 032759
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.
765 LANIER 400 PKWY, Cumming, GA 30040
Open in Google Maps ↗

Other Identifiers 4

Medicaid000579961HGA
Medicaid000579961CGA
Medicaid000579961GGA
Medicaid000579961IGA

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

Jeevana Krishna 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.

PECOS PAC ID840284584
PECOS Enrollment IDI20101117000448
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 5

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 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.
422 services179 patients
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.
107 services72 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
29 services15 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.
22 services18 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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.

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.

42.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities40
Cost88.82

Referred Medical Equipment & Supplies CMS DME claims 2

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
13 suppliers23 claims64 services$5.60 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$212.73 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 3

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

ANJALI C DUA M.D.
Internal Medicine
765 LANIER 400 PKWY
CUMMING, GA 30040
Forsyth County (770) 205-1294
CUMMING FAMILY MEDICINE INC
Family Medicine
765 LANIER 400 PKWY
CUMMING, GA 30040
Forsyth County (770) 205-1294
ANNA LUCIA BULLA MD
Family Medicine
765 LANIER 400 PKWY
CUMMING, GA 30040
Forsyth County (770) 205-1294

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 Jeevana Krishna's NPI number?

The NPI number for Jeevana Krishna is 1528020575. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Jeevana Krishna located?

Jeevana Krishna practices at 765 Lanier 400 Pkwy, Cumming, GA 30040. The listed phone number is (770) 205-1294.

What is Jeevana Krishna's specialty?

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

Is Jeevana Krishna enrolled in Medicare?

Yes. Jeevana Krishna 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 Jeevana Krishna accept?

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

According to CMS data, Jeevana Krishna is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Jeevana Krishna 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.