Active NPI
Pablo Ramon Villa-Garcia, MD
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1912238619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 056781
- Practice address
- 4897 Buford Hwy
Suite # 167
Atlanta, GA 30341-3667 - Phone
- (770) 452-5642
- Fax
- (770) 452-5643
- NPI assigned
- Jan 19, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 056781 | GA | Primary |
Addresses
Primary practice location
4897 Buford Hwy
Suite # 167
Atlanta, GA 30341-3667
Mailing address
4897 Buford Hwy
Suite # 167
Atlanta, GA 30341-3667
Phone (770) 452-5642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 458496371A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056781 | GA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1912238619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4897 BUFORD HWY",
"address_2": "SUITE # 167",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303413667",
"telephone_number": "770-452-5642",
"fax_number": "770-452-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4897 BUFORD HWY",
"address_2": "SUITE # 167",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303413667",
"telephone_number": "770-452-5642",
"fax_number": "770-452-5643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLA-GARCIA",
"first_name": "PABLO",
"middle_name": "RAMON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-19",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "056781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "458496371A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.