Georgia Woundcare MD LLC
NPI 1063231645ActiveOrganization· Internal Medicine· Cumming, GA
Internal Medicine in Cumming, Georgia, registered in NPPES in October 2024. The authorized official on file is Kishore Rasamallu, MD, Md/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063231645 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2024 |
| Last updated in NPPES | Mar 30, 2025 |
| Certified by provider | Mar 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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