Raphamed Primary Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RAPHAMED PRIMARY CARE

Practice address

1836 Watson Blvd
Warner Robins, GA 31093-3612

Phone

(478) 352-0235

Fax

(478) 225-4318

NPI assigned

Aug 23, 2024

Last updated

Aug 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sunday Yusuf, MDNPI 1760943146

Title

Owner

Phone

(478) 352-0231

Specialties & licenses 1

Addresses

Other names 1

• RaphaMed Primary Care Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sunday Oludare Yusuf, MD

  • Family Medicine Physician
  • Warner Robins, GA
  • NPI 1760943146
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725062400000",
    "number": "1821821976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933612",
            "telephone_number": "478-352-0235",
            "fax_number": "478-225-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933612",
            "telephone_number": "478-352-0235",
            "fax_number": "478-225-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAMED PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "SUNDAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-352-0231",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RaphaMed Primary Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "RaphaMed Primary Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Adrienne Randolph
• Lakeitha Michelle Randolph, C.N.A
• William Olden Rankine Jr., DO
• Jennifer Ransom
• Kirk Ashley Ransom, ATC
• Bernessa Rawls-Baker
• Shaniece Arriel Rawls, BS
• Andrew L. Ray, P.A.
• Jessica Ray
• Tatyana Ray

• Primary Care Clinic/Center in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.