DR. NAGA BHAVANI MEDURI (MD) – Dermatology Physician, NPI 1346344405

DR. NAGA BHAVANI MEDURI (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. M4876 (TX). The NPI Number for DR. NAGA BHAVANI MEDURI (MD) is 1346344405

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. NAGA BHAVANI MEDURI (MD)
NPI
1346344405
Phone
(404) 364-7070
Address
3495 PIEDMONT ROAD, NE
Enumeration Date
11 September 2006
Last Update Date
9 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702507199
Graduation Year
2002 (24 years ago)
PAC ID
3870594229
Group Practice PAC ID
1658623889
Professional Enrollment ID
I20160315001558
Address ID
GA301893768WO120XXPKWY302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

409 DERMATOLOGY in GA

Provider Addresses for DR. NAGA BHAVANI MEDURI (MD)

  • Piedmont Road Northeast, Buckhead, Atlanta, Fulton County, Georgia, 30305, United States

    NINE PIEDMONT CENTER

    ATLANTA, GA 30305

    Phone: (404) 364-7070

    Fax: (972) 860-8679

    Type: Mailing

  • 1400 NORTHSIDE FORSYTH DRIVE, SUITE 350

    KAISER PERMANENTE FORSYTH MEDICAL CENTER

    CUMMING, GA 30041

    Phone: (214) 265-1818

    Fax: (214) 265-1806

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $255.

Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: ABBVIE INC. ($89).

Total Amount

$255

General + Research + Ownership

Payments

13

Total payment records

General Amount

$255

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

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: 2016-03-15

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
I20160315001558IDermatologyGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes208156$0
17003Destruction of precancer skin growth, 2-14 growths12330$0
11102Biopsy of related skin growth, first growth11093$0
99214Established patient office or other outpatient visit, 30-39 minutes7460$0
17000Destruction of precancer skin growth, 1 growth6353$0
View full utilization report →

Insurance plans in this area (ZIP 30305)

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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: 1658623889View full group profile
NameSpecialtyState
Physician AssistantGA

Reviews

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Frequently asked questions

Can I verify DR. NAGA BHAVANI MEDURI (MD) with an NPI only?
You can start verification with NPI 1346344405 for DR. NAGA BHAVANI MEDURI (MD), then check state licensing separately.
Does the file indicate DR. NAGA BHAVANI MEDURI (MD) is practicing under active NPI?
Directory data currently reports DR. NAGA BHAVANI MEDURI (MD) as active.
What taxonomy line describes DR. NAGA BHAVANI MEDURI (MD)?
For research purposes, treat DR. NAGA BHAVANI MEDURI (MD) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. NAGA BHAVANI MEDURI (MD) list a practice location?
Patients near Atlanta, Georgia may find DR. NAGA BHAVANI MEDURI (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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