Individual provider Active NPI

Salome Purnima Devi Sookdieopersad, D.O.

  • Internal Medicine Physician
  • Augusta, GA
National Provider Identifier
1104137520
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
081326 Issued in GA
Practice address
1350 Walton Way
Augusta, GA 30901
Phone
(706) 774-5795
Fax
(706) 774-5792
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 081326 GA
Internal Medicine Physician 207R00000X 081326 GA Primary

Addresses

Primary practice location

1350 Walton Way
Augusta, GA 30901

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7263

Other practice location 1

4967 Crooks Rd
Suite 130
Troy, MI 48098-5801
Phone (248) 952-1601

Other practice location 2

2260 Wrightsboro Rd
Augusta, GA 30904-4764
Phone (706) 481-7000

Other practice location 3

1350 Walton Way
Augusta, GA 30901
Phone (706) 774-5795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160210000523 NC Practitioner - Internal Medicine 7214171461
I20181127001380 GA Practitioner - Internal Medicine 7214171461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-2183

35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
081326GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Hospitalist Physicians LLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Apr 1, 2022 Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine Past Accepting new patients
University Health Services,Inc Past Accepting new patients

Locations

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

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

1350 Walton Way
Fl 4
Augusta, GA 30901
Phone (706) 774-5795

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

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

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

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1104137520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-774-5795",
            "fax_number": "706-774-5792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4967 Crooks Rd",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480985801",
            "country_code": "US",
            "telephone_number": "248-952-1601",
            "fax_number": "248-952-1614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2260 Wrightsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309044764",
            "country_code": "US",
            "telephone_number": "706-481-7000",
            "fax_number": "706-427-7401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Walton Way",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30901",
            "country_code": "US",
            "telephone_number": "706-774-5795",
            "fax_number": "706-774-5792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOOKDIEOPERSAD",
        "first_name": "SALOME",
        "middle_name": "PURNIMA DEVI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "081326",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "081326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.