DR. BRUNDA REVANNA (M.D.) – Family Medicine Physician, NPI 1689646135
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,754 FAMILY PRACTICE in AL
Provider Addresses for DR. BRUNDA REVANNA (M.D.)
950 EAGLES LANDING PWKY #321
STOCKBRIDGE, GA 30281
Phone: (678) 432-4755
Fax: (678) 432-4753
Type: Mailing
1465A 1ST AVE SW STE A
JACKSONVILLE, AL 36265
Phone: (256) 435-8383
Type: Location
1465A 1st Ave SW Ste A
Jacksonville, AL 36265
Phone: (256) 435-8383
Type: Location
PO BOX 55407
BIRMINGHAM, AL 352555407
Phone:
Type: Mailing
1509 6TH AVE S
BIRMINGHAM, AL 352331601
Phone: (205) 930-3200
Fax: (205) 521-5524
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $195.
Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.
Last reported payment date: 2023-12-16 • Largest payer in this snapshot: Abbott Laboratories ($107).
Total Amount
$195
General + Research + Ownership
Payments
2
Total payment records
General Amount
$195
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $107 |
| Xeris Pharmaceuticals, Inc. | $88 |
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: 2005-11-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051122000810 | I | Family Practice | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 22 | $0 |
Insurance plans in this area (ZIP 30281)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Dermatology, Internal Medicine | AL | |
| Internal Medicine | AL | |
| Pulmonary Disease, Internal Medicine | AL | |
| Family Practice | MS | |
| Emergency Medicine, Internal Medicine | AL | |
| R H E U M A T O L O G Y | MA | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
Reviews
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