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 Alpharetta Family Medicine Physician, 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

Frequently asked questions

Auto-generated from federal data
What is Dr. Pavan Kumar Mamilla's medical specialty?
Dr. Pavan Kumar Mamilla practices Family Medicine Physician in Alpharetta, GA.
Where does Dr. Pavan Kumar Mamilla practice?
Dr. Pavan Kumar Mamilla practices at 11379 Southbridge Pkwy Ste A, Alpharetta, GA 300224402. Office phone: 7707770750.
What is Dr. Pavan Kumar Mamilla's NPI?
Dr. Pavan Kumar Mamilla's National Provider Identifier (NPI) is 1417188103, issued by NPPES.
Does Dr. Pavan Kumar Mamilla accept Medicare assignment?
Yes. Dr. Pavan Kumar Mamilla accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Pavan Kumar Mamilla commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Urinalysis, manual test (HCPCS 81002). Source: CMS Medicare Physician & Other Practitioners file.