NPIMap

Organization Active NPI

MD Health Solutions

  • Multi-Specialty Clinic/Center
  • Warner Robins, GA
National Provider Identifier
1093403545
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MD HEALTH SOLUTIONS
Practice address
102 Hospital Dr Ste a
Warner Robins, GA 31088-4250
Phone
(478) 743-8997
Fax
(478) 742-3559
NPI assigned
Apr 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Tammy T Peterson
Title
Cfo
Phone
(478) 374-6662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

102 Hospital Dr Ste a
Warner Robins, GA 31088-4250

Mailing address

718 Medical Center Dr
Eastman, GA 31023-6736
Phone (478) 374-6662

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230612002477 GA Part B Supplier - Clinic/Group Practice 6406213198 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
Practice locations: Columbus, GA; Warner Robins, GA; Tifton, GA; Macon, GA; Statesboro, GA; Douglas, GA; Eastman, GA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
MD Health Solutions3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6001 River Rd
Ste 411
Columbus, GA 31904
Phone (704) 689-0858

4931 Riverside Dr
Ste 200B
Macon, GA 31210
Phone (478) 743-8997

127 Osigian Blvd
Unit 100
Warner Robins, GA 31088
Phone (478) 743-8997

Practitioners & affiliated clinicians

Practitioners 6

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": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1093403545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 MEDICAL CENTER DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236736",
            "telephone_number": "478-374-6662",
            "fax_number": "478-374-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HOSPITAL DR STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310884250",
            "telephone_number": "478-743-8997",
            "fax_number": "478-742-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-374-6662"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 15, 2024; 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.