DAVID KAVTARADZE M.D. NPI 1376516484

NPI Information

  • NPI: 1376516484
  • Provider Name: DAVID KAVTARADZE, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 11D1009198
  • Address: 902 N 7TH ST
    CORDELE, GA
    ZIP 31015
  • Phone: (229) 276-3100

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NPI Details

David Kavtaradze, M.D. is an internal medicine in Cordele, GA with 30 years of experience. The provider is 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, M.D. NPI is 1376516484. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

902 N 7TH ST
CORDELE, GA
ZIP 31015-234
Phone: (229) 276-3100

The NPI 1376516484 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 11D1009198 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement of antibody (ige) to allergic substance, crude allergen extract, each (HCPCS:86003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Hemoglobin a1c level (HCPCS:83036)
  • Liver function blood test panel (HCPCS:80076)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Advance care planning, each additional 30 minutes (HCPCS:99498)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Testing of autonomic nervous system function and heart rate response to deep breathing (HCPCS:95921)
  • Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
  • Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
  • Test to determine lung volumes using gas dilution or washout (HCPCS:94727)
  • Test to examine how well the lungs exchange gases (HCPCS:94729)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Testosterone (hormone) level, total (HCPCS:84403)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Testing of autonomic (sympathetic) nervous system function (HCPCS:95923)
  • Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Iron binding capacity (HCPCS:83550)
  • Iron level (HCPCS:83540)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Creatine measurement (HCPCS:82540)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Urinalysis, manual test (HCPCS:81002)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected (HCPCS:0241U)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)

The enumeration date for this NPI number is 2/9/2006 and was last updated on 2/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine051148GEORGIAYes
2207RG0300XInternal MedicineGeriatric Medicine051148GEORGIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000976214AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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