Internal Medicine and Geriatrics of Middle Georgia L.L.C.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

INTERNAL MEDICINE AND GERIATRICS OF MIDDLE GEORGIA L.L.C.

Practice address

1743 Watson Blvd Ste B
Warner Robins, GA 31093-3622

Phone

(478) 929-2909

NPI assigned

Aug 21, 2020

Organization subpart

No

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

Authorized official

Name

Pamela O Reas

Title

Billing Manager

Phone

(478) 923-2678

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1760094684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8537",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310958537",
            "telephone_number": "478-923-2678",
            "fax_number": "478-929-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 WATSON BLVD STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933622",
            "telephone_number": "478-929-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND GERIATRICS OF MIDDLE GEORGIA L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "REAS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "478-923-2678"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarvis Ingram
• Kourtney Ingram, AGACNP-BC
• Innovation Counseling and Consulting LLC
• Inspire-Hope Counseling and Consulting, LLC
• Internal Medicine & Geriatrics of Houston, LLC
• Dan Ioanitescu, MD
• Aaliyah Irby
• Baylee A Irby
• William G Irwin, MD
• It Takes a Village Counseling Services LLC

• Geriatric Medicine (Internal Medicine) Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.