Fredrick Omurwa Makori, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

068239 Issued in GA

Practice address

905 Dixie St
Carrollton, GA 30117-4417

Phone

(770) 812-5832

NPI assigned

Jun 9, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Louisville School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Qcpi-Villagemd PCGroup PAC ID 8123389277, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Fayetteville, GA, CCN 117105
• Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
• Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
• Centerwell Home Health Home health agency, Atlanta, GA, CCN 117132
• Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184
• Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
• Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fredrick.makori.1@21533.direct.athenahealth.com

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.

• Qcpi-Villagemd, PC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1558872432
  Medicare reassignment Care Compare group
• Tanner Medical Group Inc

  • Cardiovascular Disease Physician
  • Carrollton, GA
  • NPI 1396979787

  Internal Medicine

  Medicare reassignment NPD
• TMC Immediate Care, Inc

  • Urgent Care Clinic/Center
  • Villa Rica, GA
  • NPI 1386708097
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Georgia, LLC

  • Home Health Agency
  • Douglasville, GA
  • NPI 1437117090
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Atlanta, GA
  • NPI 1891725693
  Care Compare affiliation
• CHMG of Griffin, LLC

  • Home Health Agency
  • Peachtree City, GA
  • NPI 1730119538
  Care Compare affiliation
• Cobb Hospital, Inc

  • General Acute Care Hospital
  • Austell, GA
  • NPI 1467420448
  Care Compare affiliation
• Douglas Hospital, Inc.

  • General Acute Care Hospital
  • Douglasville, GA
  • NPI 1649247974
  Care Compare affiliation
• Paulding Medical Center, Inc.

  • General Acute Care Hospital
  • Hiram, GA
  • NPI 1457329435
  Care Compare affiliation
• Suncrest Home Health of Georgia, Inc

  • Home Health Agency
  • Fayetteville, GA
  • NPI 1801044003
  Care Compare affiliation

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1467688176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174417",
            "telephone_number": "770-812-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174417",
            "telephone_number": "770-812-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKORI",
        "first_name": "FREDRICK",
        "middle_name": "OMURWA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "068239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaines Griffin Lynott, DNP, CRNA
• Mary Ann Mabry, PHARM. D.
• Jydakis Mackey
• Meredith Alice Maddox, M.S.P., CCC-SLP
• Laria Gemae Mahone, LAPC
• Latasha Nicole Mallard
• Debbie Malloy
• Cassie Manley, EDS, LPC, ACS
• Suzanne Cahill Manley, M.D.
• Amanda J Mann

• Internal Medicine Physician in Carrollton, GA
• Providers in Carrollton, 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 Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.