KAVITA KOTHARI (MD) – Psychiatry Physician, NPI 1528313244

KAVITA KOTHARI (MD) is a healthcare provider. based in Waycross, Georgia. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 2020-03451 (NC). The NPI Number for KAVITA KOTHARI (MD) is 1528313244

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KAVITA KOTHARI (MD)
NPI
1528313244
Phone
Not provided
Address
1007 MARY ST
Enumeration Date
18 July 2012
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7044031800
Graduation Year
2009 (17 years ago)
PAC ID
5698066553
Group Practice PAC ID
2961310685
Professional Enrollment ID
I20210609003087
Address ID
NC280252402CO380XXNEXX400
Telehealth
Yes

Contacts

Secure Messaging
kkothari485808@CarolinasHealthcareSystem.direct-ci.com
Main Contact
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

832 PSYCHIATRY in GA

Provider Addresses for KAVITA KOTHARI (MD)

  • 1007 MARY ST

    WAYCROSS, GA 315033823

    Phone:

    Type: Mailing

  • 5427 Nc Highway 49 S

    Ste 105

    Harrisburg, NC 280757408

    Phone: (704) 454-7268

    Type: Location

  • 923 N 2nd St

    Ste 105

    Albemarle, NC 280013317

    Phone: (704) 403-1877

    Type: Location

  • PO BOX 19305

    CHARLOTTE, NC 282199305

    Phone:

    Type: Mailing

  • 380 COPPERFIELD BLVD NE

    CONCORD, NC 280252402

    Phone: (704) 403-1800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160623001177IPsychiatryGATBD
I20210609003087IPsychiatryNCTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes20483$0
90792Psychiatric diagnostic evaluation with medical services3535$0
View full utilization report →

Insurance plans in this area (ZIP 31503)

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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: 2961310685View full group profile
NameSpecialtyState
Physician AssistantNC
-NC
-NC
Hospitalist, Family PracticeNC
Physician AssistantNC
Infectious Disease, Internal MedicineNC
-NC
-NC
P S Y C H I A T R YNC
-NC

Reviews

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Frequently asked questions

Does KAVITA KOTHARI (MD) have a public NPI I can cite?
Public records show KAVITA KOTHARI (MD) under NPI 1528313244.
Should I treat KAVITA KOTHARI (MD) as an active provider?
Patients and plans typically see KAVITA KOTHARI (MD) as active in the national extract.
What services align with KAVITA KOTHARI (MD)'s listing?
KAVITA KOTHARI (MD)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to KAVITA KOTHARI (MD)?
The directory associates KAVITA KOTHARI (MD) with Waycross, Georgia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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