Central Georgia Internist

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CENTRAL GEORGIA INTERNIST

Practice address

657 Hemlock St
Ste 220
Macon, GA 31201-8329

Phone

(478) 741-7241

NPI assigned

Aug 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mufid A Othman, M.D.

Title

President

Phone

(478) 741-7241

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114034758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 HEMLOCK ST",
            "address_2": "STE 220",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018329",
            "telephone_number": "478-741-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 HEMLOCK ST",
            "address_2": "STE 220",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018329",
            "telephone_number": "478-741-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GEORGIA INTERNIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTHMAN",
        "authorized_official_first_name": "MUFID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-741-7241",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Central Georgia Infectious Diseases Associates, LLC
• Central Georgia Internal Medicine, LLC
• Central Georgia Kidney Specialists, PC
• Central Georgia MRI LLC
• Central Georgia Oral and Maxillofacial Surgery, LLC
• Central Georgia Pediatrics, Inc.
• Central Georgia Pediatrics, Inc.

• Specialist in Macon, GA
• Providers in Macon, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.