NPPES file of Aug 9, 2026

Rose P. Draviam, M. D.

Anatomic Pathology & Clinical Pathology Physician · Brunswick, GA

Rose P. Draviam, M. D. is an anatomic pathology & clinical pathology physician with a practice address in Brunswick, Georgia, and NPI 1205810884, issued on Dec 6, 2005. Check the license (Georgia 049290, as entered in NPPES) on the Georgia Composite Medical Board; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1205810884
Name
Rose P. Draviam
Credential
M. D.
Primary taxonomy
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
License number
049290 GA
Self-reported in NPPES; status is on the state search
Practice location
3011 Hampton Ave, Brunswick, GA 31520
Phone
(912) 261-2669
Enumerated
Dec 6, 2005
Record last updated
Apr 29, 2008 (not updated in 18 years: call before relying on the address or phone)
Fax
(912) 261-0561
Medicaid ID
000886069A GA
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 3011 Hampton Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Daniel Fajardo, MDAnatomic Pathology & Clinical Pathology Physician1346443959
  2. Janet Hon, MDAnatomic Pathology & Clinical Pathology Physician1073607388
  3. Roger Lane, M.D.Anatomic Pathology & Clinical Pathology Physician1639154834
  4. Timothy McIntire, M.D.Anatomic Pathology & Clinical Pathology Physician1578637542
  5. Jose Mira Hernandez, M.D.Anatomic Pathology & Clinical Pathology Physician1497739130
  6. Marian Pennington, M.D.Anatomic Pathology & Clinical Pathology Physician1770576423

Verify Rose P. Draviam in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersGeorgia Composite Medical Board
    Search for license 049290
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Georgia license search

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Rose P. Draviam among 425 anatomic pathology & clinical pathology physician records in Georgia

Rose P. Draviam, M. D. is one of 425 anatomic pathology & clinical pathology physician records with a practice address in Georgia. 56% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 86% newer
  • In a Medicare fileNo · 56% of these records are
  • In the CMS Doctors and Clinicians fileNo · 50% of these records are
  • Record last updated2008 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

18 anatomic pathology & clinical pathology physician records list a practice address in Brunswick

They are 18 of the 980 NPPES records with a practice address in Brunswick, and 425 anatomic pathology & clinical pathology physician records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes

  1. Daniel Fajardo, MDBrunswick, GA 315201346443959
  2. Janet Hon, MDBrunswick, GA 315201073607388
  3. Roger Lane, M.D.Brunswick, GA 315201639154834
  4. Timothy McIntire, M.D.Brunswick, GA 315201578637542
  5. Jose Mira Hernandez, M.D.Brunswick, GA 315201497739130
  6. Marian Pennington, M.D.Brunswick, GA 315201770576423
  7. Janna Summerall-Smith, M.D.Brunswick, GA 315201306855200
  8. Ningxing Chen, D.O.Brunswick, GA 315251043427636

Common questions

What is Rose P. Draviam, M. D.'s NPI number?

Rose P. Draviam, M. D.'s National Provider Identifier (NPI) is 1205810884, issued on Dec 6, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Rose P. Draviam, M. D. located?

The NPPES record lists a practice address at 3011 Hampton Ave, Brunswick, GA, 31520. Phone: (912) 261-2669. Providers update this record themselves, so call before visiting.

How can I verify Rose P. Draviam, M. D.'s license?

NPPES lists Georgia license number 049290, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.