David Kavtaradze MD Inc
NPI 1386959179ActiveOrganization· Internal Medicine· Cordele, GA
Internal Medicine in Cordele, Georgia, registered in NPPES in August 2010. The authorized official on file is David Kavtaradze, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386959179 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2010 |
| Last updated in NPPES | Mar 19, 2021 |
| Certified by provider | Mar 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 051148 | GA |
| Internal Medicine, Geriatric Medicine | 207RG0300X | 051148 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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