Active NPI
Vijia P. George, M.D.
- Family Medicine Physician
- Savannah, GA
National Provider Identifier
1386804441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 068161
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068161 | Other | GA | MEDICAL 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Behavioral Health Services LLC | Family Medicine | Current | Accepting new patients |
| Steward Center for Palliative Care | Past | 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.
-
- Hospitalist Physician
- Valdosta, GA
- NPI 1619505765
Family Medicine, GA
-
- Emergency Medicine Physician
- Millen, GA
- NPI 1265826242
-
- Case Management Agency
- Savannah, GA
- NPI 1013964907
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.