Stockbridge Internal Medicine, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

STOCKBRIDGE INTERNAL MEDICINE, PC

Practice address

1500 Rock Quarry Road
Stockbridge, GA 30281-8925

Phone

(770) 507-4414

Fax

(770) 507-4415

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vallikkat T Girija, M.DNPI 1588655997

Title

President

Phone

(770) 507-4414

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vallikkat T Girija, MD

  • Cardiovascular Disease Physician
  • Stockbridge, GA
  • NPI 1588655997
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437167186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROCK QUARRY ROAD",
            "address_2": "MAILING: PO BOX 2489",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302818925",
            "telephone_number": "770-504-4414",
            "fax_number": "770-507-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROCK QUARRY ROAD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302818925",
            "telephone_number": "770-507-4414",
            "fax_number": "770-507-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKBRIDGE INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIRIJA",
        "authorized_official_first_name": "VALLIKKAT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-507-4414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stockbridge Dialysis Clinic, LLC
• Stockbridge Family Care Center
• Stockbridge Family Dental Group PC
• Stockbridge Family Dental Group PC
• Stockbridge Health & Wellness LLC
• Stockbridge Pediatrics
• Samantha Stoddard
• Amanda Deidre Stokes
• Marcus Stokes, OTR
• Vestina Stokes

• Internal Medicine Physician in Stockbridge, GA
• Providers in Stockbridge, 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 Aug 22, 2020; 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.