Individual provider Active NPI

Nirmala Sowbhagya Chelliah, M.D.

  • Internal Medicine Physician
  • Covington, GA
National Provider Identifier
1154499481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044427 Issued in GA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114000052 GA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2365601457

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.