Ocmulgee Internal Medicine and Nephrology, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

OCMULGEE INTERNAL MEDICINE AND NEPHROLOGY, LLC

Practice address

911 Plaza Ave
Eastman, GA 31023-6785

Phone

(111) 111-1111

NPI assigned

May 22, 2008

Last updated

May 22, 2008By 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

Mike Hester

Title

Cfo

Phone

(478) 448-4050

Specialties & licenses 1

Addresses

Other names 1

• Ocmulgee Internal Medicine and Nephrology Other name

Locations

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1295992568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236785",
            "telephone_number": "111-111-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCMULGEE INTERNAL MEDICINE AND NEPHROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-448-4050"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocmulgee Internal Medicine and Nephrology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Demetria Aries Mitchell
• Dana W Mullis, DMD
• Debbie Jones Mullis, LCSW
• James Michael Mullis
• Ocmulgee Family Medicine LLC.
• Ocmulgee Medical Services, LLC
• Ocmulgee Urology, LLC
• Brande Barlow Ogden, COTA/L
• Clayton Shane Oliver, DMD
• Tammie Dianne Oliver, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.