Southwest Medical Clinic,Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042618 Issued in GA

Legal business name

SOUTHWEST MEDICAL CLINIC,INC.

Practice address

7007 Williams Street
Suite C, Box 1120
Greenville, GA 30222

Phone

(706) 672-4818

Fax

(706) 672-4818

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Obinna Boniface Ubani-Ebere, PH.D.

Title

Executive Director/Manager

Phone

(706) 672-4818

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Patricia Chinwenwa Ubani-Ebere, MD

  • Internal Medicine Physician
  • Greenville, GA
  • NPI 1932177102

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124096334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 WILLIAMS STREET",
            "address_2": "SUITE C, BOX 1120",
            "city": "GREENVILLE",
            "state": "GA",
            "postal_code": "30222",
            "telephone_number": "706-672-4818",
            "fax_number": "706-672-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 WILLIAMS STREET",
            "address_2": "SUITE C, BOX 1120",
            "city": "GREENVILLE",
            "state": "GA",
            "postal_code": "30222",
            "telephone_number": "706-672-4818",
            "fax_number": "706-672-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MEDICAL CLINIC,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UBANI-EBERE",
        "authorized_official_first_name": "OBINNA",
        "authorized_official_middle_name": "BONIFACE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "706-672-4818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pruitthealth - Greenville LLC
• Laurie Smith Roberts, RN
• Amber Shealy, DPT
• Selma Luella Smith, RN
• Amanda Ledford Snyder, APRN
• Charles Allen Tigner
• U Save It Pharmacy Inc
• U Save It Pharmacy Inc
• Patricia Chinwenwa Ubani-Ebere, MD
• United Rehab Inc.

• All providers in Greenville, GA
• Internal Medicine Physician 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.