SWAPNA MADHAVAN (M.D.) – Family Medicine Physician, NPI 1205880309

SWAPNA MADHAVAN (M.D.) is a healthcare provider. based in Cumming, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 057098 (GA). The NPI Number for SWAPNA MADHAVAN (M.D.) is 1205880309

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
SWAPNA MADHAVAN (M.D.)
NPI
1205880309
Phone
(770) 887-1668
Address
PO BOX 307
Enumeration Date
22 May 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7708871668
Graduation Year
1998 (28 years ago)
PAC ID
1557373958
Group Practice PAC ID
5890682017
Professional Enrollment ID
I20060630000073
Address ID
GA300402478CU475XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,103 FAMILY PRACTICE in GA

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Provider Addresses for SWAPNA MADHAVAN (M.D.)

  • PO BOX 307

    CUMMING, GA 300280307

    Phone: (770) 887-1668

    Fax: (778) 781-9937

    Type: Mailing

  • 260, Elm Street, Cumming, Forsyth County, Georgia, 30040, United States

    CUMMING, GA 300402467

    Phone: (770) 887-1668

    Fax: (779) 781-9937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2024-05-13 • Largest payer in this snapshot: PFIZER INC. ($25).

Total Amount

$74

General + Research + Ownership

Payments

4

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060630000073IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30028)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890682017View full group profile
NameSpecialtyState
Nurse PractitionerGA
Clinical Social WorkerGA
Family PracticeGA
Family PracticeMI
Mental Health CounselorGA
Family Practice, Geriatric Medicine, Geriatric MedicineGA
Family PracticeGA

Reviews

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Frequently asked questions

Where can patients find SWAPNA MADHAVAN (M.D.)'s NPI?
You can confirm SWAPNA MADHAVAN (M.D.) with NPI 1205880309; it appears in the national provider directory.
Is SWAPNA MADHAVAN (M.D.) currently active in the NPI registry?
CMS-published data lists SWAPNA MADHAVAN (M.D.) as an active registrant.
What does SWAPNA MADHAVAN (M.D.) treat or focus on?
Patients typically see SWAPNA MADHAVAN (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for SWAPNA MADHAVAN (M.D.)?
We surface Cumming, Georgia for SWAPNA MADHAVAN (M.D.) based on available NPPES addresses.
Is SWAPNA MADHAVAN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1205880309. Always confirm identity and privileges with the practice and licensing boards.

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