Middle Georgia Pulmonary, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

063470 Issued in GA

Legal business name

MIDDLE GEORGIA PULMONARY, LLC

Practice address

2024 Watson Blvd
BLDG# 1
Warner Robins, GA 31093-3624

Phone

(478) 449-5030

Fax

(478) 293-1559

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Maya Hosein, MDNPI 1336307586

Title

Owner/Physician

Phone

(317) 748-3685

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Maya Hosein, MD

  • Pulmonary Disease Physician
  • Warner Robins, GA
  • NPI 1336307586
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1912327263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 WATSON BLVD",
            "address_2": "BLDG# 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933624",
            "telephone_number": "404-600-1215",
            "fax_number": "478-293-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 WATSON BLVD",
            "address_2": "BLDG# 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933624",
            "telephone_number": "478-449-5030",
            "fax_number": "478-293-1559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 S Houston Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310886308",
            "country_code": "US",
            "telephone_number": "478-254-2644",
            "fax_number": "478-254-4924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDDLE GEORGIA PULMONARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "HOSEIN",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "317-748-3685",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "063470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "869760044A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Middle Georgia Medical Associates, P.C.
• Middle Georgia Mental Health, LLC
• Middle Georgia Neurology, LLC
• Middle Georgia OB/GYN,PC
• Middle Georgia Psychological Services, LLC
• Middle Georgia Surgical Institute
• Middle Georgia Urology, Inc
• Middle Georgia Vascular Surgery Center LLC
• Middle Georgia Women'S Health Partners, LLC
• Middle Georgia Women'S Health Practice, LLC

• Pulmonary Disease Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.