Active NPI
Subodh K Lal, MD
- Gastroenterology Physician
- Smyrna, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 052771
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118202729A | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
- Wellstar Douglas Medical Center
- Northside Hospital
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 54 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 77 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Specialist of Georgia | Gastroenterology | Current | 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
- 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.
-
- Gastroenterology Physician
- Marietta, GA
- NPI 1801975339
GA, Gastroenterology
-
- Clinical Medical Laboratory
- Smyrna, GA
- NPI 1215178058
-
- Emergency Medicine Physician
- Tinley Park, IL
- NPI 1235175803
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.