Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Arvind Jayaraj Ponnambalam, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1073704581

Dr. Arvind Jayaraj Ponnambalam, MD is a Critical Care (Intensivists) in Fayetteville, Georgia. Qualified in 2005, 21 years ago. Practices with Piedmont Providers LLC, a 518-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (404) 367-3014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 076655 (GA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 076655 (GA)

Record details

NPI number1073704581
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2007
Last updated in NPPESSeptember 28, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesPULMONARY DISEASE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Piedmont Providers Llc — 518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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