Individual provider Active NPI

Venkata C Mallu, M.D.

  • Internal Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1598949547
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
062252 Issued in GA
Practice address
707 N Houston Rd
Warner Robins, GA 31093-2101
Phone
(478) 922-4010
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 062252 GA
Internal Medicine Physician 207R00000X 062252 GA Primary

Addresses

Primary practice location

707 N Houston Rd
Warner Robins, GA 31093-2101

Mailing address

101 Royal Crest Cir
Kathleen, GA 31047-2144
Phone (478) 319-5962

Other practice location 1

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-5795

Other identifiers 1

IdentifierTypeStateIssuer
586433793MedicaidGA

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
I20090708000482 GA Practitioner - Internal Medicine 9931251725 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Houston Hospitalist Group LLCGroup PAC ID 2769813906, 48 clinicians
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians
Muscogee Hospitalist Services, LLCGroup PAC ID 8921368564, 35 clinicians
Georgia Hospital Medicine Physicians LLCGroup PAC ID 7618459058, 14 clinicians

Practice addresses (Care Compare)

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-2183

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 320-2773

707 N Houston Rd
Warner Robins, GA 31093-2101
Phone (770) 442-1911

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

801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magna Care Medical Specialists LLC Hospitalist CurrentSince Jul 31, 2016 Accepting new patients
Apogee Medical Group Georgia Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Piedmont Hospitalist Physicians LLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Mar 3, 2023 Accepting new patients
Houston Hospitalist Group LLC Hospitalist CurrentSince Nov 5, 2023 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Sep 1, 2025 Accepting new patients
Benning Hospitalist Services, LLC Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
Muscogee Hospitalist Services, LLC Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
Houston Hospitalist Group LLC Hospitalist CurrentSince Nov 5, 2023 Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients

Locations

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

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

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

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

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

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

657 Hemlock St
Ste 220
Macon, GA 31201
Phone (478) 741-7241

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

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

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

707 N Houston Rd
Warner Robins, GA 31093
Phone (478) 328-9901

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1598949547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROYAL CREST CIR",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472144",
            "telephone_number": "478-319-5962",
            "fax_number": "478-745-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N HOUSTON RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310932101",
            "telephone_number": "478-922-4010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Walton Way",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012612",
            "country_code": "US",
            "telephone_number": "706-774-5795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLU",
        "first_name": "VENKATA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "062252",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "062252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "586433793",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.