Doctor profile · Federal record

Dr. PAVAN KUMAR MAMILLA, M.D

Family Medicine Physician (CMS: FAMILY PRACTICE) · Family Medicine Physician · ALPHARETTA, GA

  • NPI 1417188103
  • Accepts Medicare
  • 22 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
11379 SOUTHBRIDGE PKWY STE A
ALPHARETTA, GA 300224402
(770) 777-0750
fax (770) 777-0521

Credentials & registration

NPPES · NUCC
NPI registered
July 2009 — 17 yrs on file
Profile last updated
November 2, 2023
Year of graduation
2004 — 22 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State licenses (2)
Georgia #79227 · Alabama #MD.33421

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1417188103. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
611
Distinct HCPCS
10
Medicare allowed
$45,826
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 210 80 $126
99213 Established patient office or other outpatient visit, 20-29 minutes 104 50 $89
81002 Urinalysis, manual test 74 59 $3
G0442 Annual alcohol misuse screening, 5 to 15 minutes 50 50 $18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 46 46 $123
G0444 Annual depression screening, 5 to 15 minutes 41 41 $18
96160 Administration and interpretation of patient-focused health risk assessment 31 31 $3
G0008 Administration of influenza virus vaccine 25 25 $31
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 16 16 $76
71046 X-ray of chest, 2 views 14 11 $34

In context: peer comparison

Among 17 peers in this city , average services per provider: 84. This provider delivers 7.3× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$741
Transactions
37
Manufacturers
14
Payer (manufacturer) Industry Txns Amount
Boehringer Ingelheim Pharmaceuticals, Inc. 6 $125.24
AstraZeneca Pharmaceuticals LP 6 $103.91
Lilly USA, LLC 4 $88.90
Eisai Inc. 3 $83.78
Exact Sciences Corporation 4 $69.24
Novo Nordisk Inc 3 $49.84
PFIZER INC. 2 $39.11
Astellas Pharma US Inc 2 $35.62
Nevro Corp. 1 $32.51
Amgen Inc. 2 $31.55
Bayer Healthcare Pharmaceuticals Inc. 1 $24.06
Phadia US Inc. 1 $20.71
GlaxoSmithKline, LLC. 1 $19.99
Corcept Therapeutics 1 $16.94

By nature of payment

Food and Beverage
$741

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,052
Patients
332
Total drug cost
$10,139
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 164 56 $1,467
Amlodipine Besylate Generic 121 42 $695
Metformin Hcl Generic 101 32 $815
Losartan Potassium Generic 95 31 $1,248
Rosuvastatin Calcium Generic 86 29 $857
Tamsulosin Hcl Generic 72 27 $720
Pantoprazole Sodium Generic 66 26 $646
Levothyroxine Sodium Generic 62 18 $641
Lisinopril Generic 48 15 $258
Gabapentin Generic 45 17 $645

Hospital affiliations

CMS Hospital Compare