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

Pavan Tummala, MD

Individual provider Neurology Physician · NPI 1407111313

Pavan Tummala, MD is a Neurology in Gainesville, Georgia. Qualified in 2003, 23 years ago. Practices with Scl Health Montana, a 38-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Missouri.

Years since qualifying
23
Licensed in
GA, MO
In the registry since
2012
Specialties on file
2
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

1315 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3875
Phone: (770) 219-6520
Show map & directions

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

Additional practice locations (1)

  • 1000 E Primrose St, Springfield, MO 65807-5154 — (417) 269-1010

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 96271 (GA)
Neurology Physician Taxonomy 2084N0400X · Licence 2016026000 (MO)

Record details

NPI number1407111313
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2012
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing addressPo Box 742616, Atlanta, GA 30374-2616

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Scl Health Montana — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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