Idsa, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

IDSA, LLC

Practice address

1118 Morningside Dr Ste B
Perry, GA 31069-4949

Phone

(478) 396-8783

NPI assigned

Aug 10, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nalini A Patel, MDNPI 1659311645

Title

Owner

Phone

(478) 396-8783

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Nalini A Patel, MD

  • Infectious Disease Physician
  • Warner Robins, GA
  • NPI 1659311645
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447261987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 WATSON BLVD ST 2 # 341",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933612",
            "telephone_number": "478-396-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 MORNINGSIDE DR STE B",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310694949",
            "telephone_number": "478-396-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NALINI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-396-8783",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Houston Primary Care Associates P.C.
• Houston Primary Care Physicians LLC (Houston Family Care at Perry)
• Cletema Howard, LPC
• Elizabeth Howell, FNP-C
• Emily H Hulbert, M.A. CCC SLP
• Giana Uchenna Igwike, NP
• Independent Physical Therapy of Ga, LLC
• Inspire Psychological Services LLC (Omar Flores Taveras)
• J. Mathis Dixon, OD, PC (Advanced Eyecare Center)
• Sashya Ylaine Jefferson, LPN

• Infectious Disease Physician in Perry, GA
• Providers in Perry, GA by specialty
• Infectious Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.