Jacqueline Akua Owusu, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

055870 Issued in GA

Practice address

2022 10TH Ave Ste B
Columbus, GA 31901-3720

Phone

(706) 507-9407

Fax

(706) 507-9408

NPI assigned

Nov 17, 2006

Last updated

Dec 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/677/brand/1/csg/1/fhir/r4
• Direct secure messaging: jacqueline.osusu@oconeeregional.gadirect.net
• Direct secure messaging: jacqueline.owusu@oconeeregional.gadirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apogee Medical Group Georgia Inc

  • Internal Medicine Physician
  • Carrollton, GA
  • NPI 1629025143
  Medicare reassignment NPD
• Dr. Owusu Professional Services, Inc

  dba Renew Health Clinic

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1376137844
  Authorized official Same address or phone
• Agarwal Nephrology and Hypertension PC

  • Nephrology Physician
  • Columbus, GA
  • NPI 1609098367
  NPD
• Historic South Inpatient Services

  • Hospitalist Physician
  • Eastman, GA
  • NPI 1083901300
  NPD (past)
• Hospitalists at Fairview Park, LLC

  • Hospitalist Physician
  • Dublin, GA
  • NPI 1336300649
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1023182748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 HAWKS RIDGE DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042043",
            "telephone_number": "917-319-5411",
            "fax_number": "706-507-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 10TH AVE STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013720",
            "telephone_number": "706-507-9407",
            "fax_number": "706-507-9408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Historic Hwy 441-N",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354528",
            "country_code": "US",
            "telephone_number": "770-533-6521",
            "fax_number": "770-535-7445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Griffin Ave",
            "address_purpose": "LOCATION",
            "city": "Eastman",
            "state": "GA",
            "postal_code": "310236720",
            "country_code": "US",
            "telephone_number": "478-448-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Center St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319011527",
            "country_code": "US",
            "telephone_number": "706-571-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5401 Gunboat Dr # 27",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319071498",
            "country_code": "US",
            "telephone_number": "855-575-4622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWUSU",
        "first_name": "JACQUELINE",
        "middle_name": "AKUA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-12-16",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "055870",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055870",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "055870",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "05390548",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11674408",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1539774",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN HOSPITALIST OF DUBLIN",
            "identifier": "GRP4787",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA STATE LICENSE",
            "identifier": "055870",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280803795J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280803795A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Delayne Owens
• Russell Kent Owens, LPC
• Tiffani Owens, RBT
• John Leonard Owsiak, PT
• Jasmen Owusu-Ansah
• Bhishma Oza, DO
• Kiara Ozment
• P & H Health Services LLC
• P4 Physical Therapy Limited Partnership
• Jorge Pabia

• Internal Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.