Mip Medical Management

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

459343135 Issued in GA

Legal business name

MIP MEDICAL MANAGEMENT

Practice address

833 Walnut St
Macon, GA 31201-2617

Phone

(478) 741-5901

Fax

(478) 741-5904

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Marie Tate, CWCP

Title

Administrator

Phone

(478) 741-5901

Specialties & licenses 3

Addresses

Other names 1

• Macon Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 4

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

• Ademola Adebayo Opanuga, M.D.

  • Family Medicine Physician
  • Norcross, GA
  • NPI 1255584355
  Medicare reassignment NPD
• Shrinath Parimi, MD

  • Family Medicine Physician
  • Marietta, GA
  • NPI 1295823813
  NPD (past)
• Pawanjit Singh, M.D.

  • Interventional Pain Medicine Physician
  • Brookhaven, GA
  • NPI 1629286307

  Internal Medicine

  NPD (past)
• Carlos Castilo Tan, M.D.

  • General Practice Physician
  • Gainesville, GA
  • NPI 1215901855
  NPD (past)

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1376813451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 WALNUT ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012617",
            "telephone_number": "478-741-5901",
            "fax_number": "478-741-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 WALNUT ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012617",
            "telephone_number": "478-741-5901",
            "fax_number": "478-741-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIP MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-741-5901",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CWCP"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "45394335",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "459343135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macon Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Lashay Mims
• Schuyler Kathleen Mims, M.D.
• Tashanda Kasey Mims
• Ma Lourdes Blas Mina, MD
• Christopher Erin Minette, MD
• Rida Fatima Mirza, MBBS
• Nupur Mishra
• Sherryl Hearn Misinco, NP-C
• Sidharth Misra, MBBS
• Alexander R Mitchell, MD

• Pain Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.