NPIMap

Individual provider Active NPI

Sandeep Kumar Govil, M.D.

  • Family Medicine Physician
  • Smyrna, GA
National Provider Identifier
1083681589
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24493 Issued in AL
Practice address
3969 S Cobb Dr SE
Suite 202
Smyrna, GA 30080-6358
Phone
(704) 230-0000
NPI assigned
Mar 2, 2006
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 054724 GA
Family Medicine Physician 207Q00000X 24493 AL Primary

Addresses

Primary practice location

3969 S Cobb Dr SE
Suite 202
Smyrna, GA 30080-6358

Mailing address

PO Box 242113
Montgomery, AL 36124-2113
Phone (404) 999-9999

Other practice location 1

2895 Zelda Rd
Montgomery, AL 36106-2697
Phone (334) 245-5969

Other practice location 2

323 Greenville Byp Ste E
Greenville, AL 36037-3781
Phone (334) 662-0373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040402000719 AL Practitioner - Family PracticePractitioner - Emergency Medicine 0042202541 Reassigns benefits to 9 organizations
I20230331001919 MS Practitioner - Family PracticePractitioner - Emergency Medicine 0042202541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leake Emergency Group, LLCGroup PAC ID 4486985256, 15 clinicians
Aikam HealthGroup PAC ID 3375772700, 3 clinicians
Flowers HB Medical Services LLCGroup PAC ID 6305290990, 139 clinicians

Practice addresses (Care Compare)

1100 Hwy 16 E
Carthage, MS 39051-4222
Phone (601) 267-1100

2895 Zelda Rd
Montgomery, AL 36106-2697
Phone (334) 277-5431

4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
45.86 of 100Reported as group
Quality
6.09
Improvement activities
40
Cost
81.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24493ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Alabama PLLC CurrentSince Feb 5, 2025 Accepting new patients
NWMC Emergency Physicians LLC CurrentSince Jul 7, 2024 Accepting new patients
Dobbs Emergency Group, LLC CurrentSince Apr 24, 2023 Accepting new patients
Govil Health LLC Current Accepting new patients
Leake Emergency Group, LLC CurrentSince Feb 17, 2023 Accepting new patients
Flowers HB Medical Services LLC CurrentSince Oct 8, 2023 Accepting new patients
Occmed South LLC Past Accepting new patients
WH Services Brewton LLC Past Accepting new patients
Southeast Medical Group, P.C. Family Medicine Past Accepting new patients
Southern Family Practice and Occupational Medicine, Inc. Past Accepting new patients
Lakeland Physician Practices LLC Family Medicine Past Accepting new patients
Keel and Associates PastSince Feb 17, 2024 Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

2895 Zelda Rd
Montgomery, AL 36106
Phone (334) 245-5969

1530 US Highway 43
Winfield, AL 35594
Phone (205) 487-7000

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA
  • Direct secure messaging: sgovil560542@direct.bmhcc.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Camellia Family MedicineGreenville, AL, CCN 013814 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
W-2 Managing Employee (100%)
Operational/Managerial Control (100%)		 Sep 9, 2013
Sep 9, 2013
Sep 9, 2013
Sep 9, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Aikam Health

    dba Camellia Family Medicine

    • Family Medicine Physician
    • Greenville, AL
    • NPI 1578386173

    5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

Organizations & group practices 18

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 18

Hospital & facility affiliations 4

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1083681589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242113",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361242113",
            "telephone_number": "404-999-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3969 S COBB DR SE",
            "address_2": "SUITE 202",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806358",
            "telephone_number": "704-230-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2895 Zelda Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361062697",
            "country_code": "US",
            "telephone_number": "334-245-5969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 Greenville Byp Ste E",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "AL",
            "postal_code": "360373781",
            "country_code": "US",
            "telephone_number": "334-662-0373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOVIL",
        "first_name": "SANDEEP",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "GA",
            "license": "054724",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "24493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.