Individual provider Active NPI

Galina Vayner, MD

  • Internal Medicine Physician
  • Norcross, GA
National Provider Identifier
1891786497
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044134 Issued in GA
Practice address
6330 Primrose Hill CT
Norcross, GA 30092-4544
Phone
(404) 385-0160
Fax
(404) 365-0751
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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 044134 GA Primary

Addresses

Primary practice location

6330 Primrose Hill CT
Norcross, GA 30092-4544

Mailing address

PO Box 769609
Roswell, GA 30076-8224
Phone (404) 385-0160

Other identifiers 2

IdentifierTypeStateIssuer
000821928FMedicaidGA
1609816123OtherGAGEORGIA CLINIC, PC GROUP NPI #

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
I20100902000072 GA Practitioner - Internal Medicine 8224924907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Clinic, PCGroup PAC ID 8426949587, 23 clinicians

Practice addresses (Care Compare)

1861 Peeler Rd
Suite 100
Dunwoody, GA 30338-5714
Phone (770) 730-5800

6330 Primrose Hill CT
Norcross, GA 30092-4544
Phone (770) 903-0120

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044134GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Clinic, PC CurrentSince Nov 19, 2013 Accepting new patients
Pain Clinic of Aimr Internal Medicine PastSince Jul 1, 2001 Accepting new patients

Locations

2911 Piedmont Rd NE
Ste E
Atlanta, GA 30305
Phone (404) 365-0160

1861 Peeler Rd
Ste 100
Dunwoody, GA 30338
Phone (770) 730-5800

6330 Primrose Hill Ct
Ste 205
Norcross, GA 30092
Phone (678) 662-8918

6330 Primrose Hill Ct
Peachtree Corners, GA 30092
Phone (770) 309-8108

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 1

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1891786497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769609",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768224",
            "telephone_number": "404-385-0160",
            "fax_number": "404-365-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 PRIMROSE HILL CT",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924544",
            "telephone_number": "404-385-0160",
            "fax_number": "404-365-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYNER",
        "first_name": "GALINA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000821928F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA CLINIC, PC GROUP NPI #",
            "identifier": "1609816123",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.