Active NPI
Vijaya Lakshmi Galic, M.D.
- Gynecologic Oncology Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 94391
- Practice address
- 743 Spring St NE
Gainesville, GA 30501-3715 - Phone
- (770) 219-9000
- NPI assigned
- Jun 27, 2007
- Last updated
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 94391 | GA | Primary |
| Gynecologic Oncology Physician | 207VX0201X | 2015031720 | MO | |
| Gynecologic Oncology Physician | 207VX0201X | 74899-20 | WI | |
| Gynecologic Oncology Physician | 207VX0201X | ME143239 | FL | |
| Gynecologic Oncology Physician | 207VX0201X | 73374 | MN | |
| Gynecologic Oncology Physician | 207VX0201X | MD60149499 | WA | |
| Obstetrics & Gynecology Physician | 207V00000X | MD60149499 | WA | |
| Gynecologic Oncology Physician | 207VX0201X | 260966 | NY |
Addresses
Primary practice location
743 Spring St NE
Gainesville, GA 30501-3715
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8430
Other practice location 1
1003 S 5th St
4th Floor
Tacoma, WA 98405-4210
Phone (253) 403-1677
Other practice location 2
1400 NW 12th Ave
Miami, FL 33136-1003
Phone (305) 243-4000
Other practice location 3
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3282
Other practice location 4
699 Church St NE Ste 235
Marietta, GA 30060-1132
Phone (770) 792-6262
Other names 1
- Vijaya L Ayengar
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vgalic520543@directwellstar.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WI, PA, GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60149499 | WA | MD | Obstetrics & Gynecology Physician |
| 94391 | GA | MD | Gynecologic Oncology Physician |
| 73374 | MN | MD | Gynecologic Oncology Physician |
| 260966 | NY | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Care of Wisconsin S.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| The Milton S. Hershey Medical Center Physicians Group | Gynecologic Oncology | Current | Accepting new patients |
| Theda Clark OB Hospitalists SC | Obstetrics & Gynecology | Current | Accepting new patients |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Women's Cancer and Surgical Care PC | Gynecologic Oncology | Current | Accepting new patients |
| Northeast Georgia Physicians Group Inc | Current | Accepting new patients | |
| DRH Medical Group | Past | Accepting new patients |
Locations
1315 Jesse Jewell Pkwy NE
Ste 110
Gainesville, GA 30501
Phone (770) 219-0023
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
4610 Jefferson Ln NE
Albuquerque, NM 87109
Phone (505) 559-4495
500 University Dr
#4
Hershey, PA 17033
Phone (717) 531-8144
500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
2202 N John B Dennis Hwy
Ste 204
Kingsport, TN 37660
Phone (423) 224-3300
4532 N Mesa St
Ste 301
El Paso, TX 79912
Phone (915) 317-5077
4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666
4800 Alberta Ave
#101
El Paso, TX 79905
Phone (915) 215-4478
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
3232 N Ballard Rd
Ste 100
Appleton, WI 54911
200 Theda Clark Medical Plz
Ste 130
Neenah, WI 54956
100 County Road B
Ste 4
Shawano, WI 54166
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Family Medicine Physician
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- Internal Medicine Physician
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- NPI 1598705055
-
- Orthopaedic Surgery Physician
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- NPI 1710951744
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Bristol, TN
- NPI 1780986257
Obstetrics & Gynecology
-
- Gynecologic Oncology Physician
- Albuquerque, NM
- NPI 1871728840
TX
-
- Obstetrics & Gynecology Physician
- Neenah, WI
- NPI 1003811993
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- Surgery Physician
- El Paso, TX
- NPI 1538240478
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Gynecologic Oncology Physician
- Hershey, PA
- NPI 1285609677
-
- Obstetrics & Gynecology Physician
- Neenah, WI
- NPI 1295510196
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1801093513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 SPRING ST NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013715",
"telephone_number": "770-219-9000"
}
],
"practiceLocations": [
{
"address_1": "1003 S 5th St",
"address_2": "4th Floor",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984054210",
"country_code": "US",
"telephone_number": "253-403-1677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361003",
"country_code": "US",
"telephone_number": "305-243-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6500 Excelsior Blvd",
"address_purpose": "LOCATION",
"city": "St Louis Park",
"state": "MN",
"postal_code": "554264702",
"country_code": "US",
"telephone_number": "952-993-3282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "699 Church St NE Ste 235",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300601132",
"country_code": "US",
"telephone_number": "770-792-6262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALIC",
"first_name": "VIJAYA",
"middle_name": "LAKSHMI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "GA",
"license": "94391",
"primary": true
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "MO",
"license": "2015031720",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "WI",
"license": "74899-20",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "FL",
"license": "ME143239",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "MN",
"license": "73374",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "WA",
"license": "MD60149499",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD60149499",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NY",
"license": "260966",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vgalic520543@directwellstar.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "699 Church St NE Ste 235",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601132",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VIJAYA",
"last_name": "AYENGAR",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.