Individual provider Active NPI

Khushdeep Singh Chahal, M.D

  • Internal Medicine Physician
  • Thomson, GA
National Provider Identifier
1013292622
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
99596 Issued in GA
Practice address
2460 Washington Rd
Thomson, GA 30824-6600
Phone
(706) 774-5795
NPI assigned
Oct 14, 2011
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.33511 AL
Internal Medicine Physician 207R00000X 33511 AL
Internal Medicine Physician 207R00000X 99596 GA Primary
Hospitalist Physician 208M00000X 99596 GA
Hospitalist Physician 208M00000X 036178470 IL

Addresses

Primary practice location

2460 Washington Rd
Thomson, GA 30824-6600

Mailing address

PO Box 10005
Florence, AL 35631-2005
Phone (256) 768-9509

Other practice location 1

205 Marengo Street
Florence, AL 35630
Phone (256) 768-9509

Other practice location 2

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

Other identifiers 1

IdentifierTypeStateIssuer
206544MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, IL, NH, OH5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20140929001295 AL Practitioner - Internal Medicine 6901051341 Reassigns benefits to 3 organizations
I20250702004573 GA Practitioner - Internal Medicine 6901051341 Reassigns benefits to 4 organizations
I20260217003548 IL Practitioner - Hospitalist 6901051341 Reassigns benefits to 1 organization
I20260428001023 NH Practitioner - Hospitalist 6901051341 Reassigns benefits to 4 organizations
I20260601002831 OH Practitioner - Internal Medicine 6901051341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest M PLLCGroup PAC ID 1355858630, 87 clinicians

Practice addresses (Care Compare)

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000

239 Arrowhead Blvd
Jonesboro, GA 30236-1101
Phone (248) 660-1220

3400 Hwy 78 E
Jasper, AL 35501-8956
Phone (205) 387-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.33511ALMDInternal Medicine Physician
99596GAMDHospitalist Physician
036178470ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC CurrentSince Feb 1, 2026 Accepting new patients
Piedmont Athens Primary Care LLC CurrentSince Nov 24, 2025 Accepting new patients
Baptist Health Centers, LLC CurrentSince Jul 1, 2019 Accepting new patients
Ecm Health Group LLC Hospitalist CurrentSince Sep 1, 2017 Accepting new patients
Piedmont Hospitalist Physicians LLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Baptist Health Centers LLC CurrentSince Jul 1, 2019 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Feb 1, 2026 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Jul 14, 2025 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Aug 30, 2021 Accepting new patients
BBH WBMC, LLC Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

205 Marengo St
Florence, AL 35630
Phone (256) 768-8350

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

1270 Prince Ave
Ste 201
Athens, GA 30606
Phone (470) 271-3427

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1013292622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10005",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356312005",
            "telephone_number": "256-768-9509",
            "fax_number": "256-768-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 WASHINGTON RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308246600",
            "telephone_number": "706-774-5795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Marengo Street",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "35630",
            "country_code": "US",
            "telephone_number": "256-768-9509",
            "fax_number": "256-768-9715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265360",
            "country_code": "US",
            "telephone_number": "618-257-6220",
            "fax_number": "618-257-6679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAHAL",
        "first_name": "KHUSHDEEP",
        "middle_name": "SINGH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-14",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.33511",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "33511",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "99596",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "99596",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036178470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206544",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4500 Memorial Dr",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomson, GA

Sources for this page

Verify at the official NPI Registry.