P Praxis·MD
● Active Type 1 · Individual

DR. Mamatha Gavini, M.D.

Pediatrics·Atlanta, GA· NPI 1316073695 · Enumerated 2007 · 19 years on NPI
Gavini is 1 of 551 pediatrics providers in Atlanta and 1 of 2726 in Georgia.
NPI age
19 years
Enumerated 2007-02-23
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-01-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
20 Glenlake Pkwy, Kaiser Permanente Glenlake Medical Office
Atlanta, GA 303283473
📞 7706776037
Mailing address
3495 Piedmont Rd Ne, Nine Piedmont Center
Atlanta, GA 303051717
📞 4043647070

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #054888 taxonomy 208000000X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #054888 taxonomy 174400000X

Practice context

Part of a multi-provider practice. 83 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new pediatrics providers have been added in Atlanta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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