DAVID KAVTARADZE MD INC – NPI #1386959179
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

DAVID KAVTARADZE MD INC is a provider located in CORDELE, GA. NPPES has assigned the NPI number 1386959179 to DAVID KAVTARADZE MD INC on August 17, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 5 years ago on Mar 19, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVID KAVTARADZE MD INC below.

NPI Profile for
DAVID KAVTARADZE MD INC

NPI Number
1386959179
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DAVID KAVTARADZE MD INC
Primary location
902 N 7TH ST # 100
CORDELE, GA 31015-3234
Phone: (229) 276-2286 Fax:
1 Other location(s):
1008 N 7th St
Cordele, GA 31015-3761
Phone: (229) 271-4608
Fax: (229) 271-4609
Mailing address
1008 N 7TH ST
CORDELE, GA 31015-3761
Phone: (229) 271-4608 Fax: (229) 271-4609
Organization Subpart
No
Authorized Official
DAVID KAVTARADZE
OWNER
Phone: (229) 271-4608
Updated
Certification Date
Mar 19, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DAVID KAVTARADZE MD INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000976214D
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
GA 051148
207RG0300X
- Internal Medicine / Geriatric Medicine
GA 051148

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.