Individual provider Active NPI

Ghurulakshmi Moorthy, M..D

  • Endocrinology, Diabetes & Metabolism Physician
  • Peachtree City, GA
National Provider Identifier
1639434814
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
078819 Issued in GA
Practice address
4000 Shakerag HL Ste 302
Peachtree City, GA 30269-4047
Phone
(262) 352-4128
Fax
(678) 671-9985
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 078819 GA Primary

Addresses

Primary practice location

4000 Shakerag HL Ste 302
Peachtree City, GA 30269-4047

Mailing address

4000 Shakerag HL Ste 302
Peachtree City, GA 30269-4047
Phone (262) 352-4128

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
I20180123001617 GA Practitioner - Endocrinology 0244545960 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125061906ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Harmony Endocrinology Endocrinology, Diabetes & Metabolism Current Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Apr 1, 2018 Accepting new patients

Locations

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

2425 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 322-1700

39 Oak Hill Ct
#C
Newnan, GA 30265
Phone (770) 683-7873

4000 Shakerag Hl
Ste 302
Peachtree City, GA 30269
Phone (770) 253-8088

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1639434814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SHAKERAG HL STE 302",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694047",
            "telephone_number": "262-352-4128",
            "fax_number": "678-671-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SHAKERAG HL STE 302",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694047",
            "telephone_number": "262-352-4128",
            "fax_number": "678-671-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORTHY",
        "first_name": "GHURULAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M..D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "078819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.