Organization Active NPI

Henry Internal Medicine PC

  • Preferred Provider Organization
  • Stockbridge, GA
National Provider Identifier
1952333411
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
045274 Issued in GA
Legal business name
HENRY INTERNAL MEDICINE PC
Practice address
1000 Hospital Dr BLDG B
Stockbridge, GA 30281-7384
Phone
(678) 289-0188
Fax
(678) 289-0187
NPI assigned
Jul 7, 2006
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Dr. Ravinder K Kurl, MDNPI 1386737666
Title
Doctor
Phone
(678) 289-0188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 045274 GA Primary

Addresses

Primary practice location

1000 Hospital Dr BLDG B
Stockbridge, GA 30281-7384

Mailing address

1000 Hospital Dr BLDG B
Stockbridge, GA 30281-7384
Phone (678) 289-0188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080409000317 GA Part B Supplier - Clinic/Group Practice 9537246988 Receives reassigned benefits from 1 practitioner
Practice locations: Stockbridge, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0958968Henry Internal Medicine PC1000 Hospital Drive Building B, Stockbridge, GA 30281Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory

Locations

223 Medical Center Dr
Riverdale, GA 30274
Phone (770) 692-3554

1000 Hospital Dr
Stockbridge, GA 30281

1000 Hospital Dr
Bldg B
Stockbridge, GA 30281
Phone (678) 289-0188

1016 Hospital Dr
Stockbridge, GA 30281

1016 Hospital Dr
Bldg B
Stockbridge, GA 30281
Phone (678) 289-0188

Interoperability endpoints

  • Direct secure messaging: ravinder.kurl@himpc.gadirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1952333411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOSPITAL DR BLDG B",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817384",
            "telephone_number": "678-289-0188",
            "fax_number": "678-289-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOSPITAL DR BLDG B",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817384",
            "telephone_number": "678-289-0188",
            "fax_number": "678-289-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "KURL",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "678-289-0188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "045274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.