Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Prem Kumar, MD

Individual provider Internal Medicine Physician · NPI 1124003587

Dr. Prem Kumar, MD is an Internal Medicine in Valdosta, Georgia. Qualified in 1984, 42 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
42
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3300 Greystone Way
Valdosta, GA 31605-1096
Phone: (229) 247-7700
Fax: (229) 247-2666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 466691 (GA)

Record details

NPI number1124003587
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESMarch 20, 2010
Mailing address3300 Greystone Way, Valdosta, GA 31605-1096

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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