Frontline Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

69221 Issued in GA

Legal business name

FRONTLINE INTERNAL MEDICINE LLC

Practice address

6 Lester Rd
Statesboro, GA 30458-4786

Phone

(912) 681-8999

Fax

(912) 681-8989

NPI assigned

Jul 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ogechi H Mbakwe, MDNPI 1992861603

Title

Solo Owner

Phone

(912) 681-8999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9506/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Ogechi Helen Mbakwe, MD

  • Internal Medicine Physician
  • Statesboro, GA
  • NPI 1992861603

  GA, Internal Medicine

  Medicare reassignment NPD Authorized official
• Mona Dennison Smith, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Statesboro, GA
  • NPI 1669904884
  NPD
• Sherri L Becker, O.D.

  • Corneal and Contact Management Optometrist
  • Hampton, VA
  • NPI 1306809629
  NPD (past)

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1710328331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1489",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304591489",
            "telephone_number": "912-681-8999",
            "fax_number": "912-681-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LESTER RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584786",
            "telephone_number": "912-681-8999",
            "fax_number": "912-681-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "MBAKWE",
        "authorized_official_first_name": "OGECHI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SOLO OWNER",
        "authorized_official_telephone_number": "912-681-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "69221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Franklin
• Andrea Bird Franklin, CRNA
• Kelley Frazier
• Jessica Adrienne French, C.P.N.P.
• Fresh Start Counseling Services
• Mai Fujimoto
• Courtney Fuller, PMHNP-BC
• Jordan Grace Fuller
• Fuse Health & Wellness, LLC
• Shannon Kay Salter Fussell, PH.D.

• All providers in Statesboro, GA
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.