Organization Active NPI

Comprehensive Care Medical Offices, LLC

  • Infectious Disease Physician
  • Warner Robins, GA
National Provider Identifier
1023055258
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
055016 Issued in GA
Legal business name
COMPREHENSIVE CARE MEDICAL OFFICES, LLC
Practice address
301 Osigian Blvd
Warner Robins, GA 31088-8953
Phone
(478) 971-2130
Fax
(478) 971-2132
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Maher A. Abdulla, MDNPI 1316997489
Title
Physician-Practice Owner
Phone
(478) 971-2130

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 042151 GA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 047566 GA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 055016 GA
Infectious Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0200X 055016 GA Primary

Addresses

Primary practice location

301 Osigian Blvd
Warner Robins, GA 31088-8953

Mailing address

301 Osigian Blvd
Warner Robins, GA 31088-8953
Phone (478) 971-2130

Other identifiers 1

IdentifierTypeStateIssuer
085003047GMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323000427 GA Part B Supplier - Clinic/Group Practice 9335195338 Receives reassigned benefits from 3 practitioners
Practice locations: Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

3051 Watson Blvd
#550
Warner Robins, GA 31093
Phone (478) 971-2130

301 Osigian Blvd
Warner Robins, GA 31088
Phone (478) 971-2130

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1023055258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OSIGIAN BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888953",
            "telephone_number": "478-971-2130",
            "fax_number": "478-971-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OSIGIAN BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888953",
            "telephone_number": "478-971-2130",
            "fax_number": "478-971-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARE MEDICAL OFFICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "ABDULLA",
        "authorized_official_first_name": "MAHER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN-PRACTICE OWNER",
        "authorized_official_telephone_number": "478-971-2130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042151",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047566",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055016",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "055016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085003047G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.