PRABHAKAR PISIPATI MD
NPI 1649276437
Psychiatry & Neurology - Geriatric Psychiatry in Gainesville, GA

Active since June 26, 2005PECOS Enrolled
82.55/100
CMS Quality Rating
1075 JESSE JEWELL PKWY NE STE A, GAINESVILLE, GA 30501(770) 219-5407 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2023, Mar 10, 2021 (2 updates tracked since 2021).

About Prabhakar Pisipati Md NPPES

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

PRABHAKAR PISIPATI MD (NPI 1649276437) is an individual geriatric psychiatry provider in Gainesville, Georgia, licensed in Georgia (79002) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649276437
Entity TypeIndividualMale
Primary Taxonomy2084P0805X
Provider Legal NamePRABHAKAR PISIPATICredential: MD
Location Address1075 JESSE JEWELL PKWY NE STE AGainesville, GA 30501-3814
Mailing AddressPo Box 862Clinton, IA 52733-0862 · (563) 219-0695 · Fax (563) 519-1444
Sole ProprietorNo
Enumeration DateJune 26, 2005
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1649276437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
Licenses✔ Licensed in GA · 79002✔ Licensed in MI · 4301061688✔ Licensed in IA · 30143
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
1075 JESSE JEWELL PKWY NE STE A, Gainesville, GA 30501

Other Names 1

Other Name (5)Prabhakar Pisipati Md

Secondary Practice Locations 2

Location 11410 N 4th StClinton, IA 52132 · Phone (563) 244-5555 · Fax (563) 884-4638
Location 25500 Armstrong RdBattle Creek, MI 49037-7314 · Phone (269) 966-5600

Other Identifiers 2

Other79002GA · Ga License
Medicaid2115774IA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prabhakar Pisipati Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Prabhakar Pisipati reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 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.

Areas of Expertise CMS Part B claims

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.
34 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Psychiatry)
1075 JESSE JEWELL PKWY NE STE A
GAINESVILLE, GA 30501

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 Prabhakar Pisipati's NPI number?

The NPI number for Prabhakar Pisipati is 1649276437. It was assigned to this individual provider in the NPPES registry on June 26, 2005. The provider is also known as Prabhakar Pisipati MD.

Where is Prabhakar Pisipati located?

Prabhakar Pisipati practices at 1075 Jesse Jewell Pkwy NE Ste A, Gainesville, GA 30501. The listed phone number is (770) 219-5407.

What is Prabhakar Pisipati's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Prabhakar Pisipati enrolled in Medicare?

Yes. Prabhakar Pisipati is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Prabhakar Pisipati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prabhakar Pisipati reassigns Medicare benefits to 2 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA) and Personal Recovery Network LLC (Stockbridge, 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 Prabhakar Pisipati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Prabhakar Pisipati was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.