DR. DIVAKAR JAMMALAMADAKA (MD) – Nephrology Physician, NPI 1265699920

DR. DIVAKAR JAMMALAMADAKA (MD) is a healthcare provider. based in Conyers, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 66378 (GA). The NPI Number for DR. DIVAKAR JAMMALAMADAKA (MD) is 1265699920

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIVAKAR JAMMALAMADAKA (MD)
NPI
1265699920
Phone
(678) 344-0334
Address
1501 Milstead Rd NE Ste 150
Enumeration Date
20 May 2008
Last Update Date
10 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783440334
Graduation Year
2001 (25 years ago)
PAC ID
8820271273
Group Practice PAC ID
0749353225
Professional Enrollment ID
I20111212000230
Address ID
GA300786107SN2386XSTXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for DR. DIVAKAR JAMMALAMADAKA (MD)

  • 1501 Milstead Rd NE Ste 150

    Conyers, GA 300123857

    Phone: (678) 344-0334

    Fax: (678) 344-0343

    Type: Location

  • 4805 Lawrenceville Hwy NW Ste 320

    Lilburn, GA 300473800

    Phone: (678) 344-0334

    Fax: (678) 344-0343

    Type: Location

  • 3370 Sugarloaf Pkwy Ste A1

    Lawrenceville, GA 300445491

    Phone: (678) 344-0334

    Fax: (678) 344-0343

    Type: Location

  • 10132 Carlin Drive

    Covington, GA 30014

    Phone: (678) 344-0334

    Fax: (678) 344-0343

    Type: Location

  • 2386 CLOWER ST STE C105

    SNELLVILLE, GA 300786107

    Phone: (678) 344-0334

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $157.

Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: AKEBIA THERAPEUTICS INC ($104).

Total Amount

$157

General + Research + Ownership

Payments

15

Total payment records

General Amount

$157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2011-12-12

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
I20111212000230IInternal MedicineGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes314121$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)23842$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes18783$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes137108$0
90935Hemodialysis procedure with physician evaluation13252$0
View full utilization report →

Insurance plans in this area (ZIP 30012)

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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: 0749353225View full group profile
NameSpecialtyState
N E P H R O L O G YGA
N E P H R O L O G YGA

Reviews

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Frequently asked questions

What NPI should I save for DR. DIVAKAR JAMMALAMADAKA (MD)?
Save NPI 1265699920 if you need a stable reference for DR. DIVAKAR JAMMALAMADAKA (MD).
Does this profile mean DR. DIVAKAR JAMMALAMADAKA (MD) is currently active?
Yes — DR. DIVAKAR JAMMALAMADAKA (MD) appears active in the national provider directory.
Does DR. DIVAKAR JAMMALAMADAKA (MD) list a primary specialty?
If you are matching referrals, note Nephrology Physician for DR. DIVAKAR JAMMALAMADAKA (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DIVAKAR JAMMALAMADAKA (MD)?
The page summarizes Conyers, Georgia for DR. DIVAKAR JAMMALAMADAKA (MD); expand the address list for detail.
What if Conyers, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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