Lillette A. Intaphan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

033601 Issued in GA

Practice address

657 Hemlock St.
Ste 221
Macon, GA 31201

Phone

(478) 750-8984

Fax

(478) 746-1530

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Diamond Odell Jude, MD, LLC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1386412005
  NPD
• Inpatient Consultants of Georgia, Inc

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1659403970
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1487699773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312020786",
            "telephone_number": "478-750-8984",
            "fax_number": "478-746-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 HEMLOCK ST.",
            "address_2": "STE 221",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-750-8984",
            "fax_number": "478-746-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTAPHAN",
        "first_name": "LILLETTE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "033601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MDC",
            "identifier": "P00742561",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inner-Connect Counseling, Consulting & Education SVC., Inc.
• Inpatient Consultants of Georgia, Inc
• Inspired Journeys
• Inspiring Healthy Lives, LLC
• Insta-Care Pharmacy Services Corporation
• Integrated Anesthesia Solutions, LLC
• Internal Medicine Associates, P.C.
• Internal Medicine of Macon Ga LLC
• James V. Intorcia, A.T.
• Stephanie Garrett Intorcia, APRN

• Internal Medicine Physician in Macon, GA
• Providers in Macon, 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 Mar 10, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.