Active NPI
Nirmala Sowbhagya Chelliah, M.D.
- Internal Medicine Physician
- Covington, GA
National Provider Identifier
1154499481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 044427
- Practice address
- Eastview Internal Medicine, P.C. 3285 Salem Road
Covington, GA 30016-1863 - Phone
- (770) 602-4321
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 044427 | GA | Primary |
Addresses
Primary practice location
Eastview Internal Medicine, P.C. 3285 Salem Road
Covington, GA 30016-1863
Mailing address
3008 Inverness CT
Conyers, GA 30094-6861
Phone (770) 760-1428
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241114000052 | GA | Order and Referring Only - Internal Medicine | 2365601457 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Behavioral Health and Developmental Disabilities | Past | Accepting new patients | |
| Icfmr at Georgia Regional Hospital Atlanta | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Covington, GA
- NPI 1053512996
-
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- Decatur, GA
- NPI 1124254941
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- Intellectual Disabilities Intermediate Care Facility
- Decatur, GA
- NPI 1841328135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154499481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 INVERNESS CT",
"city": "CONYERS",
"state": "GA",
"postal_code": "300946861",
"telephone_number": "770-760-1428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EASTVIEW INTERNAL MEDICINE, P.C. 3285 SALEM ROAD",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300161863",
"telephone_number": "770-602-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELLIAH",
"first_name": "NIRMALA",
"middle_name": "SOWBHAGYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "044427",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.