Individual provider Active NPI

Subodh K Lal, MD

  • Gastroenterology Physician
  • Smyrna, GA
National Provider Identifier
1699748988
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
052771 Issued in GA
Practice address
4441 Atlanta Rd SE Ste 204
Smyrna, GA 30080-6442
Phone
(678) 741-5000
Fax
(770) 739-2318
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 052771 GA
Gastroenterology Physician 207RG0100X 052771 GA Primary

Addresses

Primary practice location

4441 Atlanta Rd SE Ste 204
Smyrna, GA 30080-6442

Mailing address

711 Canton Rd NE
Suite 300
Marietta, GA 30060-8948
Phone (678) 741-5000

Other practice location 1

1700 Hospital South Dr
Suite 410
Austell, GA 30106
Phone (770) 739-9555

Other identifiers 1

IdentifierTypeStateIssuer
118202729AMedicaidGA

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
I20101208000044 GA Practitioner - Gastroenterology 8224052154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialist of Georgia 35 clinicians

Practice addresses (Care Compare)

2550 Windy Hill Rd SE
Marietta, GA 30067-8655
Phone (678) 741-5000

6002 Professional Pkwy
Suite 200
Douglasville, GA 30134-5627
Phone (678) 741-5000

711 Canton Rd
Suite 300
Marietta, GA 30060-1136
Phone (678) 741-5000

711 Canton Rd NE
Suite 300
Marietta, GA 30060-8949
Phone (678) 741-5000

Hospital & facility affiliations

  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy54
Upper gastrointestinal (GI) endoscopy for acid reflux77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialist of Georgia Gastroenterology CurrentSince Dec 26, 2014 Accepting new patients
Gastrointestinal Specialists of Georgia Histology Past Accepting new patients
Sullivan Urgent Aid Centers, LTD Past Accepting new patients

Locations

1700 Hospital South Dr
Ste 410
Austell, GA 30106
Phone (678) 741-2317

13 Reinhardt College Pkwy
#200
Canton, GA 30114

6002 Professional Pkwy
Ste 200
Douglasville, GA 30134
Phone (770) 942-0457

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

148 Bill Carruth Pkwy
Ste 200
Hiram, GA 30141

880 Crestmark Dr
Ste 102
Lithia Springs, GA 30122
Phone (678) 388-2040

2550 Windy Hill Rd SE
Ste 302
Marietta, GA 30067
Phone (678) 574-0943

2550 Windy Hill Rd SE
Ste 307
Marietta, GA 30067
Phone (770) 953-1414

711 Canton Rd NE
Ste 300
Marietta, GA 30060
Phone (678) 741-2317

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

1121 Johnson Ferry Rd
Ste 150
Marietta, GA 30068
Phone (770) 977-1510

1357 Hembree Rd
Ste 240
Roswell, GA 30076
Phone (404) 446-3600

3200 Highlands Pkwy SE
Ste 430
Smyrna, GA 30082
Phone (770) 739-9555

4441 Atlanta Rd SE
Ste 204
Smyrna, GA 30080
Phone (470) 267-1760

118 Mill St
Ste 110
Woodstock, GA 30188
Phone (678) 741-2317

118 Mill St
Ste 100
Woodstock, GA 30188
Phone (678) 741-2317

Interoperability endpoints

  • Direct secure messaging: subodh.lal@gsg.eclinicaldirectplus.com

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.

Hospital & facility affiliations 6

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1699748988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CANTON RD NE",
            "address_2": "SUITE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608948",
            "telephone_number": "678-741-5000",
            "fax_number": "678-819-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 ATLANTA RD SE STE 204",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806442",
            "telephone_number": "678-741-5000",
            "fax_number": "770-739-2318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Hospital South Dr",
            "address_2": "Suite 410",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "30106",
            "country_code": "US",
            "telephone_number": "770-739-9555",
            "fax_number": "770-739-2318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAL",
        "first_name": "SUBODH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "052771",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "052771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118202729A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.