Individual provider Active NPI

Vijia P. George, M.D.

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1386804441
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
068161 Issued in GA
Practice address
1674 Chatham Pkwy
Savannah, GA 31405-1350
Phone
(912) 355-2289
Fax
(912) 355-2376
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 068161 GA Primary

Addresses

Primary practice location

1674 Chatham Pkwy
Savannah, GA 31405-1350

Mailing address

1674 Chatham Pkwy
Savannah, GA 31405-1350
Phone (912) 355-2289

Other identifiers 1

IdentifierTypeStateIssuer
068161OtherGAMEDICAL LICENSE

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
I20140322000228 GA Practitioner - Family Practice 6204067929 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Behavioral Health Services LLC Family Medicine CurrentSince May 1, 2020 Accepting new patients
Steward Center for Palliative Care PastSince Jul 28, 2018 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC Past Accepting new patients

Locations

633 Stephenson Ave
Savannah, GA 31405
Phone (912) 351-3590

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

2209 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1386804441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 CHATHAM PKWY",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051350",
            "telephone_number": "912-355-2289",
            "fax_number": "912-355-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 CHATHAM PKWY",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051350",
            "telephone_number": "912-355-2289",
            "fax_number": "912-355-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "VIJIA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "068161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "068161",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.