NPIMap

Organization Active NPI

Bethesda Institute of Spine & Neurosurgery

  • Neurological Surgery Physician
  • Macon, GA
National Provider Identifier
1790211399
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
BETHESDA INSTITUTE OF SPINE & NEUROSURGERY
Practice address
420 Charter Blvd
#208
Macon, GA 31210-4854
Phone
(312) 479-4421
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Dr. Kwame Amponsah, M.D.
Title
Owner
Phone
(312) 479-4421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

420 Charter Blvd
#208
Macon, GA 31210-4854

Mailing address

420 Charter Blvd
#208
Macon, GA 31210-4854

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1790211399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CHARTER BLVD",
            "address_2": "#208",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CHARTER BLVD",
            "address_2": "#208",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104854",
            "telephone_number": "312-479-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA INSTITUTE OF SPINE & NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "AMPONSAH",
        "authorized_official_first_name": "KWAME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-479-4421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.