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

Manjit Pakkala, MD

Individual provider Internal Medicine Physician · NPI 1821358003

Manjit Pakkala, MD is an Internal Medicine in Fayetteville, Georgia. Qualified in 2012, 14 years ago. Practices with Piedmont Hospitalist Physicians LLC, a 497-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Kansas and Missouri.

Years since qualifying
14
Licensed in
GA, KS, MO
In the registry since
2012
Specialties on file
6
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

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (404) 367-3014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5325 Faraon St, Saint Joseph, MO 64506 — (816) 271-6406

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 73446 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2015021659 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 005442 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0439088 (KS)
Hospitalist Physician Taxonomy 208M00000X · Licence 73446 (GA)
Hospitalist Physician Taxonomy 208M00000X · Licence 2015021659 (MO)

Record details

NPI number1821358003
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2012
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing address5325 Faraon St, Saint Joseph, MO 64506-3488

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Piedmont Hospitalist Physicians Llc — 497 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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