Van Lee Malia, D.O.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

070274 Issued in GA

Practice address

1008 Druid Park Ave Ste 101
Augusta, GA 30904-5848

Phone

(770) 962-3642

NPI assigned

Apr 13, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vanmalia@apr.allscriptsdirect.net

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.

• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Lawrenceville, GA
  • NPI 1356781181
  Medicare reassignment Care Compare group NPD
• Advanced Pain Management, P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Evans, GA
  • NPI 1538227566
  Medicare reassignment NPD
• Evans Procedure Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Evans, GA
  • NPI 1518279504
  Medicare reassignment NPD
• Falcon Medical Group

  • Specialist
  • Augusta, GA
  • NPI 1770865396
  NPD
• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Newnan, GA
  • NPI 1427820190
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1740423243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PHILIP BLVD STE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468768",
            "telephone_number": "770-962-3642",
            "fax_number": "709-623-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 DRUID PARK AVE STE 101",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045848",
            "telephone_number": "770-962-3642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3650 J Dewey Gray Cir",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309091867",
            "country_code": "US",
            "telephone_number": "706-863-9797",
            "fax_number": "706-860-7686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 University Pkwy",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093089",
            "country_code": "US",
            "telephone_number": "706-922-6780",
            "fax_number": "706-286-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIA",
        "first_name": "VAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "070274",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "070274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald L Makerson, D.D.S.
• Jaipal Makhija, M.D.
• Pooja Rani Makhija, M.D
• Vivien Makhoul
• Lianni Maldonado, RD
• Kashif Malik, MD
• Rafay Malik, MD
• Robert Bruce Mall, D.C.,B.C.A.O.
• Hector Jose Mallar, O.D., F.A.A.O.
• Mallory a Lawrence MD PC

• Interventional Pain Medicine Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.