Oconee Healthcare Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OCONEE HEALTHCARE CENTER LLC

Practice address

133 Colaparchee CT
Macon, GA 31210-7226

Phone

(478) 972-0277

Fax

(888) 326-5817

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Farhan Siddiqui, M.D.NPI 1598754301

Title

Physician

Phone

(478) 972-0277

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Oconee Healthcare Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Oconee Health Care Center LLC

  • Long Term Care Hospital
  • Macon, GA
  • NPI 1891049102
  NPD tax ID

Locations

Practitioners 6

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

• Farhan Siddiqui, MD

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1598754301

  GA, Internal Medicine

  Medicare reassignment NPD Authorized official
• Alessandra Esnard, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1073045829

  GA

  Medicare reassignment NPD
• Heather E Wallace

  • Gerontology Nurse Practitioner
  • Macon, GA
  • NPI 1053856427

  GA

  Medicare reassignment NPD
• Leandrea Studstill Lopez, ACNP

  • Nurse Practitioner
  • Macon, GA
  • NPI 1407622038
  NPD
• Cheunita R Cruz

  • Family Nurse Practitioner
  • Robins Air Force Base, GA
  • NPI 1760467641
  NPD (past)
• Fraulein Kyzer, NP

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1265965644
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1306904081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26698",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312216698",
            "telephone_number": "404-600-1215",
            "fax_number": "888-326-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 COLAPARCHEE CT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312107226",
            "telephone_number": "478-972-0277",
            "fax_number": "888-326-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "478-972-0277",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000757831F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Eliot Oche
• Ocmulgee Medical Pathology Association Inc
• Ocmulgee Medical Pathology Association Inc
• Ocmulgee Physicians, LLC
• Oconee Health Care Center LLC
• Carmine V Oddis, M.D.
• Andrew William Odegaard, MD
• Connie Odom, RN
• Charles L Ogburn Jr., M.D.
• Jessica Ogburn, NP-C

• All providers in Macon, GA
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.