Individual provider Active NPI

Anthony Kimani Mwangi, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Macon, GA
National Provider Identifier
1083604532
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
033654 Issued in GA
Practice address
350 Hospital Dr
Macon, GA 31217-3838
Phone
(478) 464-1442
NPI assigned
Oct 26, 2005
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 033654 GA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 033654 GA Primary
Pulmonary Disease Physician 207RP1001X 033654 GA
Psychiatry Physician 2084P0800X 14918A WY
Sleep Medicine (Internal Medicine) Physician 207RS0012X 033654 GA

Addresses

Primary practice location

350 Hospital Dr
Macon, GA 31217-3838

Mailing address

9105 Clark Rd
Fairburn, GA 30213-1976

Other practice location 1

1233 E 2nd St
Casper, WY 82601-2926
Phone (307) 577-7201

Other identifiers 1

IdentifierTypeStateIssuer
000608297EMedicaidGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081103000245 GA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3476535683 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Oral Roberts University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Specialty Hospital Billing LLCGroup PAC ID 4183986490, 252 clinicians

Practice addresses (Care Compare)

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
033654GAMDCritical Care Medicine (Internal Medicine) Physician
14918AWYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc CurrentSince Dec 14, 2022 Accepting new patients
The Kimani Clinic, P.C. Internal Medicine Current Accepting new patients
Phoebe Physician Group, Inc CurrentSince Dec 1, 2021 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Phoebe Dorminy Family Care CurrentSince Dec 1, 2021 Accepting new patients
The Lung Centers of Georgia Past Accepting new patients
Coliseum Medical Center, LLC Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

450 14th St NW
Atlanta, GA 30318
Phone (404) 480-9797

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1083604532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 CLARK RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302131976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173838",
            "telephone_number": "478-464-1442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012926",
            "country_code": "US",
            "telephone_number": "307-577-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MWANGI",
        "first_name": "ANTHONY",
        "middle_name": "KIMANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "033654",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "033654",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "033654",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "14918A",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "033654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000608297E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.