Individual provider Active NPI

Gandhiji Yalamanchili, M.D.

  • Gastroenterology Physician
  • Albany, GA
National Provider Identifier
1104813575
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
025312 Issued in GA
Practice address
1009 N Monroe St
Albany, GA 31701-1903
Phone
(229) 883-0298
Fax
(229) 438-7898
NPI assigned
Sep 30, 2005
Last updated
Apr 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 025312 GA Primary

Addresses

Primary practice location

1009 N Monroe St
Albany, GA 31701-1903

Mailing address

1009 N Monroe St
Albany, GA 31701-1970
Phone (229) 883-0298

Other names 1

  • Gandhi Y'Chili Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000611 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 5890699136 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince Jan 1, 2009 Accepting new patients

Locations

1009 N Monroe St
Ste 102
Albany, GA 31701
Phone (229) 883-0298

1009 N Monroe St
Albany, GA 31701
Phone (229) 883-0298

1009 N Monroe St
Ste 107
Albany, GA 31701

1009 N Monroe St
Ste 108
Albany, GA 31701

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1104813575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N MONROE ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011970",
            "telephone_number": "229-883-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N MONROE ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011903",
            "telephone_number": "229-883-0298",
            "fax_number": "229-438-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALAMANCHILI",
        "first_name": "GANDHIJI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "025312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GANDHI",
            "last_name": "Y'CHILI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.