Individual provider Active NPI

Mwingi Ida Lomami, CFNP

  • Primary Care Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1366719197
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN166752 Issued in GA
Practice address
2122 Manchester Expy
Columbus, GA 31904-6878
Phone
(229) 402-4219
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X RN166752 GA
Primary Care Nurse Practitioner 363LP2300X RN166752 GA Primary

Addresses

Primary practice location

2122 Manchester Expy
Columbus, GA 31904-6878

Mailing address

46 Gaston Ave
Tifton, GA 31794-2075
Phone (229) 402-4219

Other identifiers 1

IdentifierTypeStateIssuer
1366719197MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN166752GAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Primary Care Physicians Southeast PC CurrentSince Oct 23, 2019 Accepting new patients
Houston County Emergency Group, LLC CurrentSince Feb 1, 2014 Accepting new patients
Montgomery Emergency Group, LLC CurrentSince Feb 15, 2015 Accepting new patients
Baldwin Emergency Group, LLC CurrentSince May 1, 2016 Accepting new patients
Tift Regional Health System Inc CurrentSince Feb 2, 2016 Accepting new patients
Houston County Emergency Group, LLC CurrentSince Feb 1, 2014 Accepting new patients
Greenville Rancheria Past Accepting new patients

Locations

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1366719197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 GASTON AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317942075",
            "telephone_number": "229-402-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 MANCHESTER EXPY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046878",
            "telephone_number": "229-402-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAMI",
        "first_name": "MWINGI",
        "middle_name": "IDA",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "GA",
            "license": "RN166752",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN166752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366719197",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.