Middle Georgia Internal Medicine & Kidney Diseases

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

33504 Issued in GA

Legal business name

MIDDLE GEORGIA INTERNAL MEDICINE & KIDNEY DISEASES

Practice address

1122 Gray Hwy
Suite 4
Macon, GA 31211-1869

Phone

(478) 745-8309

Fax

(478) 745-8364

NPI assigned

Feb 14, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Janet A Allen-Nwosu

Title

Manager

Phone

(478) 745-8309

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

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

• Clement C Nwosu, M.D.

  • Nephrology Physician
  • Macon, GA
  • NPI 1659439107
  Medicare reassignment
• Muhammad Rehan, M.D.

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1063583680
  NPD (past)
• Muhamhad Arif Yusufi, M.D

  • Nephrology Physician
  • Milledgeville, GA
  • NPI 1134348873
  NPD (past)
• Marghoob Abbas, M.D.

  • Internal Medicine Physician
  • St. Joseph, MO
  • NPI 1588603781
  NPD (past)

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1225301781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 GRAY HWY",
            "address_2": "SUITE 4",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111869",
            "telephone_number": "478-745-8309",
            "fax_number": "478-745-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 GRAY HWY",
            "address_2": "SUITE 4",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111869",
            "telephone_number": "478-745-8309",
            "fax_number": "478-745-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA INTERNAL MEDICINE & KIDNEY DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN-NWOSU",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-745-8309",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "33504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middle Georgia Center for Independent Living, Inc.
• Middle Georgia Emergency Group, LLC
• Middle Georgia Gastroenterology
• Middle Georgia Heart and Vascular Center, LLC
• Middle Georgia Heart Rhythm Specialists, LLC
• Middle Georgia Life Care Inc.
• Middle Georgia Pediatrics
• Middle Georgia Pediatrics
• Middle Georgia Regional Commission
• Middle Georgia Sleep & Wellness Center LLC

• Nephrology Physician in Macon, GA
• Providers in Macon, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.