● Active Type 1 · Individual

DR. Arvind Jayaraj Ponnambalam, MD

Internal Medicine·Fayetteville, GA· NPI 1073704581 · Enumerated 2007 · 18 years on NPI

Ponnambalam is 1 of 5 internal medicine providers in Fayetteville and 1 of 221 in Georgia.

NPI age

18 years

Enumerated 2007-08-08

Primary specialty

Internal Medicine

Plus 1 subspecialty

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2016-09-28

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 221 active internal medicine providers in Georgia.

NPI age

18 years

↑ 3 yr above median (15 yr)

State licenses

1 state

38% of peers hold multiple states

Subspecialties

In the 81% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES

2007 2026

Where they practice

Practice location

1255 Highway 54 W

Fayetteville, GA 302144526

📞 4043673014

Mailing address

1255 Highway 54 W

Fayetteville, GA 302144526

📞 4043673014

Specialties

Allopathic & Osteopathic Physicians › Internal Medicine

Internal Medicine Primary

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the...

GA license #076655 taxonomy 207RC0200X
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...

GA license #076655 taxonomy 207RP1001X

Practice context

Part of a multi-provider practice. 138 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.