Organization Active NPI

Middle Ga Nephrology

  • Nephrology Physician
  • Macon, GA
National Provider Identifier
1861663890
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MIDDLE GA NEPHROLOGY
Practice address
1122 Gray Highway
Suite 4
Macon, GA 31211-3207
Phone
(478) 745-8309
Fax
(478) 745-8364
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Clement C. Nwosu, MDNPI 1659439107
Title
Medical Director
Phone
(478) 745-8309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1122 Gray Highway
Suite 4
Macon, GA 31211-3207

Mailing address

1122 Gray Highway
Suite 4
Macon, GA 31211-3207
Phone (478) 745-8309

National Provider Directory

National Provider Directory

Locations

1122 Gray Hwy
Ste 4
Macon, GA 31211
Phone (478) 745-8309

1215 N Columbia Dr
Milledgeville, GA 31061
Phone (478) 454-1977

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1861663890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 GRAY HIGHWAY",
            "address_2": "SUITE 4",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312113207",
            "telephone_number": "478-745-8309",
            "fax_number": "478-745-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 GRAY HIGHWAY",
            "address_2": "SUITE 4",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312113207",
            "telephone_number": "478-745-8309",
            "fax_number": "478-745-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GA NEPHROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "NWOSU",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "478-745-8309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "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 Mar 18, 2008; 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.