Active NPI
Venkata C Mallu, M.D.
- Internal Medicine Physician
- Warner Robins, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 062252
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 586433793 | Medicaid | GA |
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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magna Care Medical Specialists LLC | Hospitalist | Current | Accepting new patients |
| Apogee Medical Group Georgia | Internal Medicine | Current | Accepting new patients |
| Piedmont Hospitalist Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| Houston Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| Southeast Medical Group, P.C. | Current | Accepting new patients | |
| Benning Hospitalist Services, LLC | Hospitalist | Current | Accepting new patients |
| Muscogee Hospitalist Services, LLC | Hospitalist | Current | Accepting new patients |
| Houston Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| Physician First Health Network | Past | 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
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- 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.
-
- Hospitalist Physician
- Warner Robins, GA
- NPI 1962040147
-
- Hospitalist Physician
- Columbus, GA
- NPI 1639681851
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
Internal Medicine
-
- Family Medicine Physician
- Alpharetta, GA
- NPI 1235296054
-
- Hospitalist Physician
- Thomaston, GA
- NPI 1164371415
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1629025143
-
- Hospitalist Physician
- Columbus, GA
- NPI 1215442173
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
- Emergency Medicine Physician
- Thomaston, GA
- NPI 1790285815
-
- Family Medicine Physician
- Columbus, GA
- NPI 1326749417
-
- Hospitalist Physician
- Perry, GA
- NPI 1831717511
-
- Hospitalist Physician
- Macon, GA
- NPI 1487002382
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Perry, GA
- NPI 1891808499
-
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
-
- General Acute Care Hospital
- Thomaston, GA
- NPI 1659376630
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.