Vinod C Mehta MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

GA092213 Issued in GA

Legal business name

VINOD C MEHTA MD PC

Practice address

546B S 8TH St
Griffin, GA 30224-4212

Phone

(770) 228-8242

Fax

(770) 200-2605

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vinod C Mehta, M.D

Title

Owner

Phone

(770) 228-8242

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1306923792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546B S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244212",
            "telephone_number": "770-228-8242",
            "fax_number": "770-200-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546B S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244212",
            "telephone_number": "770-228-8242",
            "fax_number": "770-200-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINOD C MEHTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-228-8242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "GA092213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "GA092213",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330085D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "371035",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Griffin, GA
• Providers in Griffin, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.