Individual provider Active NPI

Raghu N Lolabhattu, MD

  • Internal Medicine Physician
  • East Dublin, GA
National Provider Identifier
1851397368
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
047617 Issued in GA
Practice address
406 Central Dr
East Dublin, GA 31027-7412
Phone
(478) 488-3057
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 047617 GA Primary

Addresses

Primary practice location

406 Central Dr
East Dublin, GA 31027-7412

Mailing address

PO Box 845
Dublin, GA 31040-0845
Phone (478) 272-2599

Other practice location 1

2400 Bellevue Avenue
Erin Office Park Suite 19 B
Dublin, GA 31021
Phone (478) 272-2599

Other practice location 2

101 Mercer Dr Ste B
Dublin, GA 31021-4257
Phone (478) 272-2599

Other identifiers 1

IdentifierTypeStateIssuer
00901183CMedicaidGA

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
I20040318000950 GA Practitioner - Internal Medicine 2567352941 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeast Medical Group, P.C. 139 clinicians
Houston Hospitalist Group LLC 48 clinicians

Practice addresses (Care Compare)

101 Mercer Dr
Dublin, GA 31021-4257
Phone (770) 442-1911

1115 Morningside Dr
Perry, GA 31069-2905
Phone (770) 442-1911

1255 Friendship Rd
Suite 130
Braselton, GA 30517-5617
Phone (770) 442-1911

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281

406 Central Dr
Dublin, GA 31027-7412
Phone (770) 442-1911

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Eastman, GA, CCN 117053
  • Amedisys Home Health Home health agency, Vidalia, GA, CCN 117075
  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069
  • Fairview Park Hospital Hospital, Dublin, GA, CCN 110125
  • Dublin Trails of Journey LLC Nursing home, Dublin, GA, CCN 115495

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047617GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Georgia Internal Medicine LLC Internal Medicine CurrentSince Aug 1, 2002 Accepting new patients
24 On Physicians, PC CurrentSince Jul 1, 2014 Accepting new patients
Houston Hospitalist Group LLC CurrentSince May 1, 2020 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
24 On Physicians, P.C. CurrentSince Jul 1, 2014 Accepting new patients
Houston Hospitalist Group LLC Current Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients
Dublin Trails of Journey LLC Past Accepting new patients
Houston Hospitals Inc Past Accepting new patients
Premier Estates of Dublin LLC Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

2400 Bellevue Rd
Ste 19B
Dublin, GA 31021
Phone (478) 272-2599

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

101 Mercer Dr
#B
Dublin, GA 31021
Phone (478) 272-2599

106 Corporate Sq
Dublin, GA 31021
Phone (478) 272-2599

406 Central Dr
East Dublin, GA 31027
Phone (478) 275-1122

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJFCA/Endpoint/FDJFCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 11

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1851397368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310400845",
            "telephone_number": "478-272-2599",
            "fax_number": "478-272-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CENTRAL DR",
            "city": "EAST DUBLIN",
            "state": "GA",
            "postal_code": "310277412",
            "telephone_number": "478-488-3057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 BELLEVUE AVENUE",
            "address_2": "ERIN OFFICE PARK SUITE 19 B",
            "address_purpose": "LOCATION",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "country_code": "US",
            "telephone_number": "478-272-2599",
            "fax_number": "478-272-6441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Mercer Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310214257",
            "country_code": "US",
            "telephone_number": "478-272-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOLABHATTU",
        "first_name": "RAGHU",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00901183C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Dublin, GA

Sources for this page

Verify at the official NPI Registry.