Organization Active NPI

Eastview Internal Medicine, P.C.

  • Internal Medicine Physician
  • Covington, GA
National Provider Identifier
1053512996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EASTVIEW INTERNAL MEDICINE, P.C.
Practice address
3285 Salem Rd
Covington, GA 30016-1863
Phone
(770) 602-4321
Fax
(770) 602-4225
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nirmala Sowbhagya Chelliah, M.D.
Title
President
Phone
(770) 602-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3285 Salem Rd
Covington, GA 30016-1863

Mailing address

3285 Salem Rd
Covington, GA 30016-1863
Phone (770) 602-4321

National Provider Directory

National Provider Directory

Locations

3285 Salem Rd
Covington, GA 30016
Phone (770) 602-4321

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053512996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 SALEM RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300161863",
            "telephone_number": "770-602-4321",
            "fax_number": "770-602-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 SALEM RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300161863",
            "telephone_number": "770-602-4321",
            "fax_number": "770-602-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTVIEW INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHELLIAH",
        "authorized_official_first_name": "NIRMALA",
        "authorized_official_middle_name": "SOWBHAGYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-602-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.