TAMARA VASHAKMADZE (MD) – Family Medicine Physician, NPI 1033359393

TAMARA VASHAKMADZE (MD) is a healthcare provider. based in Columbus, Ohio. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 57011346 (OH). The NPI Number for TAMARA VASHAKMADZE (MD) is 1033359393

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA VASHAKMADZE (MD)
NPI
1033359393
Phone
Not provided
Address
4850 E MAIN ST
Enumeration Date
26 February 2009
Last Update Date
8 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504944000
Graduation Year
1994 (32 years ago)
PAC ID
8426239120
Group Practice PAC ID
7012201965
Professional Enrollment ID
I20170425002287
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for TAMARA VASHAKMADZE (MD)

  • East Main Street, River South, Columbus, Franklin, Ohio, 43216, United States

    COLUMBUS, OH 432133162

    Phone:

    Mailing address matches the actual address.

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: 2017-04-25

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
I20170425002287IFamily PracticeFLTBD

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 43213)

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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: 7012201965View full group profile
NameSpecialtyState
Internal MedicineFL
-FL
Internal MedicineFL
Family Practice, Emergency Medicine, HospitalistFL
Family PracticeFL
Family PracticePA
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Family PracticeFL

Reviews

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Frequently asked questions

What identifier follows TAMARA VASHAKMADZE (MD) across health systems?
The NPI 1033359393 uniquely identifies TAMARA VASHAKMADZE (MD) in U.S. healthcare data.
Is TAMARA VASHAKMADZE (MD)'s NPI status active today?
Active status means TAMARA VASHAKMADZE (MD)'s NPI record is not deactivated in the public file.
What type of care does TAMARA VASHAKMADZE (MD) provide?
TAMARA VASHAKMADZE (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to TAMARA VASHAKMADZE (MD)?
TAMARA VASHAKMADZE (MD) shows a connection to Columbus, Ohio in registry-derived data.
Can I export TAMARA VASHAKMADZE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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