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Provider profile

Prabhakar Mithal

Urology

3 locationsNPI 1497172951
1336 Highway 54 W Bldg 200, Fayetteville, GA 30214770-460-9777

2027 Medicare Advantage

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Medicare Advantage plans for Fayette County, GA, Monroe County, NY and Forsyth County, NC.

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 40 plans so far

Some of Aetna Medicare, Wellcare, UnitedHealthcare, Humana, Anthem Blue Cross and Blue Shield, Clover Health, PruittHealth Premier, Alignment Health Plan, Blue Cross and Blue Shield of North Carolina, Devoted, Excellus Health Plan Community Care LLC, Excellus Health Plan, Inc, HealthSpring, HealthTeam Advantage, Kaiser Permanente, Liberty Medicare Advantage, MVP HEALTH CARE, Nascentia Health Plus and VNS Health Medicare's 2027 plans in Fayette County, GA, Monroe County, NY and Forsyth County, NC haven't been checked yet.

The 188 Medicare Advantage plans we show for Fayette County, GA, Monroe County, NY and Forsyth County, NC in 2027

  • 40 list Prabhakar
  • 31 not listed
  • 117 not checked yet

Aetna Medicare

11 plans list Prabhakar.

11plans

  • Aetna Medicare Eagle Extra Plus (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 140 Carnegie Pl, Ste 108, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsH2293-009-000Medicare.gov
    $0a month

  • Aetna Medicare Eagle Plus (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 140 Carnegie Pl, Ste 108, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsH3288-034-000Medicare.gov
    $0a month

  • Aetna Medicare Elite Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 140 Carnegie Pl, Ste 108, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH2293-010-000Medicare.gov
    $0a month

  • Aetna Medicare Prime Care (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 140 Carnegie Pl, Ste 108, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH5302-028-000Medicare.gov
    $0a month

11 more Aetna Medicare plans haven't been checked yet.

Wellcare

10 plans list Prabhakar.

10plans

  • Wellcare Assist (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH1112-043-000Medicare.gov
    $0a month

  • Wellcare Giveback (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH1112-042-000Medicare.gov
    $0a month

  • Wellcare Patriot Giveback Open (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsH0111-007-000Medicare.gov
    $0a month

  • Wellcare Patriot Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH1112-034-000Medicare.gov
    $0a month

13 more Wellcare plans haven't been checked yet.

UnitedHealthcare

8 plans list Prabhakar.

8plans

  • AARP Medicare Advantage from UHC GA-10 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH5322-053-000Medicare.gov
    $0a month

  • UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsR2604-005-000Medicare.gov
    $0a month

  • UHC Dual Complete GA-Q2 (PPO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    PPOFor people with Medicare and MedicaidDrug coverage3.5 starsH3256-005-001Medicare.gov
    $0a month

  • UHC Dual Complete GA-Q3 (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH5322-050-001Medicare.gov
    $0a month

17 more UnitedHealthcare plans haven't been checked yet.

Humana

4 plans list Prabhakar; not listed on 12 other plans.

4plans

  • Humana Gold Plus Giveback H4141-022 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300 Ste 101, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH4141-022-000Medicare.gov
    $0a month

  • Humana Gold Plus H4141-023 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300 Ste 101, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH4141-023-000Medicare.gov
    $0a month

  • Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300 Ste 101, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH4141-003-000Medicare.gov
    $0a month

  • Humana Gold Plus SNP-DE H4141-024 (HMO D-SNP)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300 Ste 101, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH4141-024-000Medicare.gov
    $0a month

21 more Humana plans haven't been checked yet.

Anthem Blue Cross and Blue Shield

3 plans list Prabhakar.

3plans

  • Anthem Dual Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Fayetteville, GA, 30214
    • 33 Upper Riverdale Rd SW, Riverdale, GA, 30274

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5422-018-000Medicare.gov
    $0a month

  • Anthem Full Dual Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Fayetteville, GA, 30214
    • 33 Upper Riverdale Rd SW, Riverdale, GA, 30274

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5422-019-000Medicare.gov
    $0a month

  • Anthem Kidney Care (HMO-POS C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Fayetteville, GA, 30214
    • 33 Upper Riverdale Rd SW, Riverdale, GA, 30274

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with certain chronic conditionsDrug coverage3.5 starsH5422-015-000Medicare.gov
    $0a month

Clover Health

3 plans list Prabhakar.

3plans

  • Clover Health LiveHealthy (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Fayetteville, GA, 30214
    • 140 Carnegie Pl, Ste 108, Fayetteville, GA, 30214
    • 33 Upper Riverdale Rd SW, Ste 105, Riverdale, GA, 30274

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-026-000Medicare.gov
    $0a month

  • Clover Health Valor (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Fayetteville, GA, 30214
    • 140 Carnegie Pl, Ste 108, Fayetteville, GA, 30214
    • 33 Upper Riverdale Rd SW, Ste 105, Riverdale, GA, 30274

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage5 starsH5141-056-000Medicare.gov
    $0a month

  • Clover Health LiveHealthy Premier (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 200, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Fayetteville, GA, 30214
    • 140 Carnegie Pl, Ste 108, Fayetteville, GA, 30214
    • 33 Upper Riverdale Rd SW, Ste 105, Riverdale, GA, 30274

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-045-000Medicare.gov
    $35a month

PruittHealth Premier

1 plan lists Prabhakar.

1plan

  • PruittHealth Premier D-SNP (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1336 Highway 54 W, Bldg 100, Fayetteville, GA, 30214
    • 1336 Highway 54 W, Bldg 300, Fayetteville, GA, 30214
    • 140 Carnegie Pl, Ste 108, Fayetteville, GA, 30214
    • 33 Upper Riverdale Rd SW, Ste 105, Riverdale, GA, 30274

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH3291-002-000Medicare.gov
    $0a month

Alignment Health Plan

Not checked yet.

Blue Cross and Blue Shield of North Carolina

Not checked yet.

Devoted

Not checked yet.

12 more Devoted plans haven't been checked yet.

Excellus Health Plan Community Care LLC

Not checked yet.

Excellus Health Plan, Inc

Not checked yet.

HealthSpring

Not checked yet.

7 more HealthSpring plans haven't been checked yet.

HealthTeam Advantage

Not checked yet.

Kaiser Permanente

Not listed on its 7 plans here. That isn't proof they're out of network.

Liberty Medicare Advantage

Not checked yet.

MVP HEALTH CARE

Not checked yet.

Nascentia Health Plus

Not checked yet.

VNS Health Medicare

Not checked yet.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Prabhakar takes it. Free.

Original Medicare

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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Where they practice

3 practice locations

1336 Highway 54 W Bldg 200
Fayetteville, GA 30214

770-460-9777Directions
NPI Registry

601 Elmwood Ave Box Surg
Rochester, NY 14642

585-275-2723Directions
NPI Registry

140 Charlois Blvd
Winston Salem, NC 27103

336-716-4131Directions
NPI Registry
NPI issued
2014
Registry record updated
Jun 15, 2021

Medicare's clinician details aren't available on this page yet.

Questions

Common questions

Which 2027 Medicare Advantage plans list Prabhakar Mithal?

In Fayette County, GA, Monroe County, NY and Forsyth County, NC, 40 Medicare Advantage plans for 2027 list Prabhakar in provider data from Medicare.gov or the carrier, including Aetna Medicare Eagle Extra Plus (PPO), Aetna Medicare Eagle Plus (PPO) and Aetna Medicare Elite Giveback (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Where does Prabhakar Mithal practice?

3 locations, including 1336 Highway 54 W Bldg 200, Fayetteville, GA. All of them are listed on this page.

How do I confirm Prabhakar is in my plan's network?

Call the member services number on your plan card and give them the NPI 1497172951, or ask a Silverpath advisor to check for you. It's free.

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Talk to a licensed advisor

A Silverpath advisor can confirm Prabhakar's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

Patients can use Silverpath to find practices and check plan networks in Fayette County, GA, Monroe County, NY and Forsyth County, NC. Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

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Nearby

John AbbottFayetteville, GA · Listed on 54 plansEdan ShapiroFayetteville, GA · Listed on 40 plansKevin YangFayetteville, GA · Listed on 37 plansBrittani Barrett-HarlowFayetteville, GA · Listed on 36 plansFernando DuraldeFayetteville, GA · Listed on 1 plansKanika SearvanceLawrenceville, GA · Listed on 86 plansAnuj DesaiCartersville, GA · Listed on 81 plansChristine CallawayDecatur, GA · Listed on 80 plans

See all urology providers in GA

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2021-06-15). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 27, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Prabhakar Mithal or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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