Dr. Owusu Professional Services, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR. OWUSU PROFESSIONAL SERVICES, INC

Doing business as

Renew Health Clinic

Practice address

2022 10TH Ave Ste B
Columbus, GA 31901-3720

Phone

(855) 575-4622

Fax

(706) 507-9408

NPI assigned

Feb 25, 2021

Last updated

Feb 25, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

DR. OWUSU PROFESSIONAL SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Dr. Jacqueline A Owusu, M.D.NPI 1023182748

Title

Ceo

Phone

(706) 507-9407

Specialties & licenses 1

Addresses

Other names 1

• RENEW HEALTH CLINIC Doing business as

Electronic endpoints 1

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

CLIA laboratory certificates

Part of

Dr Owusu Professional Services Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Akua Owusu, MD

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1023182748
  Authorized official Same address or phone

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1376137844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 HAWKS RIDGE DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042043",
            "telephone_number": "706-507-9407",
            "fax_number": "706-507-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 10TH AVE STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013720",
            "telephone_number": "855-575-4622",
            "fax_number": "706-507-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. OWUSU PROFESSIONAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. OWUSU PROFESSIONAL SERVICES, INC",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "OWUSU",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-507-9407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "COLUMBUS",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "COLUMBUS",
            "address_1": "2022 10th Ave Ste B",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319013720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RENEW HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devon Dozier
• Susan Dozier, HAD
• Dr David O Peed OD (Preferred Eyecare)
• Dr. Ona Graham, PC (Ona Graham, PSYD)
• Dr. Ona Graham, PC (Ona Graham Psy D, PC)
• Ronchell Drains, PHARMD
• Cynthia L Drake
• Tameyra Drake
• Verna Drake, LCSW
• Michael Drexler, RPH

• Internal Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.