Individual provider Active NPI

Veera Pavuluri, MD

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1255504098
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301091402 Issued in MI
Practice address
132 Madison North Dr
Macon, GA 31220-7626
Phone
(973) 204-9230
NPI assigned
Apr 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301091402 MI
Internal Medicine Physician 207R00000X 4301091402 MI Primary

Addresses

Primary practice location

132 Madison North Dr
Macon, GA 31220-7626

Mailing address

132 Madison North Dr
Macon, GA 31220-7626
Phone (973) 204-9230

Other identifiers 6

IdentifierTypeStateIssuer
1034159OtherMIMCLAREN
01012510OtherMIHEALTHPLUS COMMERCIAL
1105910542OtherMIBCBSM
P00678941OtherMIRAILROAD MEDICARE
1037015OtherMIMCLAREN
200000017905OtherMIPHP COMMERCIAL

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
I20130904000497 GA Practitioner - Internal Medicine 7012089329 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benning Hospitalist Services LLCGroup PAC ID 5698038479, 29 clinicians
Muscogee Hospitalist Services, LLCGroup PAC ID 8921368564, 35 clinicians

Practice addresses (Care Compare)

100 Frist CT
Columbus, GA 31909-3578
Phone (706) 494-2100

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301091402MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince Jun 1, 2014 Accepting new patients
Muscogee Hospitalist Services, LLC CurrentSince Feb 1, 2019 Accepting new patients
Phoebe Dorminy Kids Health CurrentSince Jun 1, 2014 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Jun 10, 2017 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Jun 10, 2017 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
24 On Physicians, P.C. CurrentSince Jan 1, 2016 Accepting new patients
Benning Hospitalist Services, LLC CurrentSince Feb 1, 2019 Accepting new patients
24 On Physicians, PC CurrentSince Jan 1, 2016 Accepting new patients
Warwick Inpatient Services Internal Medicine Past Accepting new patients

Locations

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

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

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

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

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 10

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 2

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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1255504098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MADISON NORTH DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312207626",
            "telephone_number": "973-204-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MADISON NORTH DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312207626",
            "telephone_number": "973-204-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVULURI",
        "first_name": "VEERA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301091402",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301091402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1034159",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS COMMERCIAL",
            "identifier": "01012510",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1105910542",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00678941",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1037015",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP COMMERCIAL",
            "identifier": "200000017905",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.