Arimah Medical Inc.

Organization Active NPI Primary Care Clinic/Center · Macon, GA

NPI 1366715161 · NPPES record last updated Jun 2, 2020

Key facts

NPI
1366715161
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
License
042787 (GA)
Legal business name
ARIMAH MEDICAL INC.
Practice address
6501 Peake Rd BLDG 900
Macon, GA 31210
Phone
(478) 471-9500
Fax
(478) 471-0550
NPI assigned
Feb 10, 2012
Organization subpart
No

Authorized official

Name
George U Arimah, MD NPI 1790880144
Title
Owner
Phone
(478) 471-9500

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 11

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

Practitioners 1

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0981815Arimah Medical
6501 Peake Road, Building 900, Macon, GA 31210
Certificate of waiverJan 7, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120224000202 GA Part B Supplier - Clinic/Group Practice 3476711227 Receives reassigned benefits from 1 practitioner
Practice locations: Macon, GA

National Provider Directory

Tax ID family
Wash Co Regional Medica (12 organizations share this tax ID)

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5840/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 042787 GA Yes

Addresses

Primary practice location

6501 Peake Rd BLDG 900
Macon, GA 31210

Mailing address

6501 Peake Rd BLDG 900
Macon, GA 31210
Phone (478) 471-9500

Other identifiers

IdentifierTypeStateIssuer
000728736DMedicaidGA
08BDNFCOtherMEDICARE ID

Other providers in Macon, GA

All providers in Macon, GA · Primary Care Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.