Individual provider Active NPI

Joana Dorwuona-Tettey

  • Pediatrics Physician
  • Albany, GA
National Provider Identifier
1861817181
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
076705 Issued in GA
Practice address
204 N Westover Blvd
Albany, GA 31707-2983
Phone
(229) 888-6559
Fax
(229) 436-4107
NPI assigned
Feb 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 076705 GA Primary

Addresses

Primary practice location

204 N Westover Blvd
Albany, GA 31707-2983

Mailing address

204 N Westover Blvd
Albany, GA 31707-2983
Phone (229) 888-6559

Other names 1

  • Joana Laryea Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817001170 GA Practitioner - Pediatric Medicine 2860787710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc CurrentSince Aug 29, 2016 Accepting new patients
Albany Area Primary Health Care, Inc. CurrentSince Aug 29, 2016 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients

Locations

4529 Gillionville Rd
Albany, GA 31721
Phone (229) 405-6188

2403 Osler Ct
Ste A
Albany, GA 31707
Phone (229) 405-6196

401 S Madison St
Albany, GA 31701
Phone (229) 405-6959

1700 Cordell Ave
Albany, GA 31705
Phone (229) 405-6235

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

1300 Newton Rd
Albany, GA 31701
Phone (229) 431-1320

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

1305 E 2nd Ave
Albany, GA 31705
Phone (229) 405-6189

1425 W Oakridge Dr
Albany, GA 31707
Phone (229) 405-6233

1712 E Broad Ave
#C
Albany, GA 31705
Phone (229) 405-6249

1712 E Broad Ave
#A
Albany, GA 31705
Phone (229) 639-3100

505 Forrester Dr SE
Dawson, GA 39842
Phone (229) 995-2990

455 Greenwave Blvd
Dawson, GA 39842
Phone (229) 405-6238

118 Robert B Lee Dr
Leesburg, GA 31763
Phone (229) 759-6508

11949 US Highway 41
Pinehurst, GA 31070
Phone (229) 405-6249

Interoperability endpoints

  • Direct secure messaging: joana.dorwuonatettey@aaphc.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1861817181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N WESTOVER BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072983",
            "telephone_number": "229-888-6559",
            "fax_number": "229-436-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N WESTOVER BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072983",
            "telephone_number": "229-888-6559",
            "fax_number": "229-436-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORWUONA-TETTEY",
        "first_name": "JOANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "076705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANA",
            "last_name": "LARYEA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.