Active NPI
Michael Oliver Kamanda, MD
- Internal Medicine Physician
- Marion, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31180
- Practice address
- 1115 N Main St
Marion, SC 29571-2025 - Phone
- (843) 423-0760
- Fax
- (843) 423-8138
- NPI assigned
- Jun 29, 2007
- Last updated
- Sep 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31180 | SC | Primary |
Addresses
Primary practice location
1115 N Main St
Marion, SC 29571-2025
Mailing address
1115 N Main St
Marion, SC 29571-2025
Phone (843) 423-0760
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31180 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Hospitalists Group, LLC | Current | Accepting new patients | |
| Southern Regional Physicians Management Group, LLC | Current | Accepting new patients | |
| Georgia Hospitalists Group, LLC | Current | Accepting new patients | |
| Covenant Medical Group LLC | Current | Accepting new patients | |
| City of Hope Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| Georgia Hospitalists Group, LLC | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| Spalding Regional Physician Services, LLC | Internal Medicine | Past | Accepting new patients |
| Regency Hospital Company of Macon LLC | Past | Accepting new patients |
Locations
2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
11 Upper Riverdale Rd SW
Ste 21
Riverdale, GA 30274
483 Upper Riverdale Rd SW
Ste L
Riverdale, GA 30274
Phone (770) 742-3883
62742 Collections Ctr Dr
Chicago, IL 60693
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
-
- Pulmonary Disease Physician
- Marietta, GA
- NPI 1194235853
-
- Hospitalist Physician
- Riverdale, GA
- NPI 1033576376
-
- Surgery Physician
- Riverdale, GA
- NPI 1043677271
-
- Hospitalist Physician
- Griffin, GA
- NPI 1063859692
-
- Hospitalist Physician
- Cedartown, GA
- NPI 1477099588
-
- Long Term Care Hospital
- Macon, GA
- NPI 1447252044
-
dba Spalding Surgical Associates
- Infectious Disease Physician
- Griffin, GA
- NPI 1285755157
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1780881185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 N MAIN ST",
"city": "MARION",
"state": "SC",
"postal_code": "295712025",
"telephone_number": "843-423-0760",
"fax_number": "843-423-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 N MAIN ST",
"city": "MARION",
"state": "SC",
"postal_code": "295712025",
"telephone_number": "843-423-0760",
"fax_number": "843-423-8138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMANDA",
"first_name": "MICHAEL",
"middle_name": "OLIVER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "31180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, SC
- Elizabeth Howell, LPES
- Vicki Ann Howell, MT (ASCP)
- Charita Leslie James
- Joans Health Care LLC
- Joel N. Baslot PT, LLC (Dynamic Physical Therapy and Rehabilitation Center)
- Tracy Ann Lambert Erwin, MSP CCC-SLP
- Brittany Lane
- Josey Lecklitner
- Margaret Lee, RMA, CPT
- Gwendolyn Bullard Legette, REGISTERED NURSE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.