PHYSICIAN CONSULTANTS OF GEORGIA WARNER ROBINS LLC (NPI# 1033716139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033716139 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN CONSULTANTS OF GEORGIA WARNER ROBINS LLC |
| Practice Address |
1570 Watson Blvd Warner Robins GA 31093-3474 |
| Mailing Address |
Po Box 6612 Macon GA 31208-6612 |
| Practice Telephone | 4782501325 |
| Practice Fax Number | 4782546860 |
| Mailing Telephone | 4782501325 |
| Mailing Fax Number | 4782546860 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | BRIANNA GOODIE (CLINICAL MANAGER) |
| Authorized Official Telephone | 4789724467 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Warner Robins Vascular Center | Doing Business As Name - Organization |
| Street Address |
1570 WATSON BLVD |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31093-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909201 | Madalyn N Davidoff | Internal Medicine | 1570 Watson Blvd, Warner Robins, GA 31093-3432 | 2005-06-01 |
| 1760725162 | Advanced Ob Gyn Care of Warner Robins, LLC | Obstetrics & Gynecology | 1570 Watson Blvd, Suite 110, Warner Robins, GA 31093-3432 | 2013-04-03 |
| 1245565985 | Houston Ob/gyn, LLC | Obstetrics & Gynecology | 1570 Watson Blvd, Suite 100, Warner Robins, GA 31093-3432 | 2009-10-14 |
| 1093987562 | Madalyn N. Davidoff, M.d., LLC | Internal Medicine | 1570 Watson Blvd, Warner Robins, GA 31093-3432 | 2008-03-25 |
| 1285822478 | Southern Sleep Technologies, Inc | Clinic/Center | 1570 Watson Blvd, Suite A, Warner Robins, GA 31093-3432 | 2007-10-12 |
| 1518162007 | Melissa Kirkland Payne | Nurse Practitioner | 1570 Watson Blvd, Warner Robins, GA 31093-3432 | 2007-06-15 |
| 1083619779 | Carlo C Lee | Obstetrics & Gynecology | 1570 Watson Blvd, Suite 100, Warner Robins, GA 31093-3432 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654102 | Hui Bostian | Technician | 402 Pinecrest Dr., Warner Robins, GA 31093 | 2019-08-14 |
| 1457914616 | Janvi Hemantkumar Wadiwala | Student in an Organized Health Care Education/Training Program | 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 | 2019-04-15 |
| 1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
| 1477043719 | Revealing Strength Counseling, LLC | Counselor | 2762 Watson Blvd, Warner Robins, GA 31093 | 2018-05-11 |
| 1265930069 | Alma J Ellington | Counselor | 306 North Davis Drive, Suite B Room 4, Warner Robins, GA 31093 | 2018-01-26 |
| 1841707668 | Guiding Light Healthcare Services | Family Medicine | 306 N. Davis Dr., Suite B, Warner Robins, GA 31093 | 2018-01-02 |
| 1083143416 | Rosa C Gilbert | Counselor | 303 Mimosa, Warner Robins, GA 31093 | 2017-06-08 |
| 1982141545 | Ariel Young | Psychologist | 104 Stanton Circle, Warner Robins, GA 31093 | 2017-01-20 |
| 1801259437 | Gramps 'n' Grannies, Inc. | Assisted Living Facility | 502 North Huston Rd., Warner Robins, GA 31093 | 2016-03-31 |
| 1710346903 | Brenda Marie Warren | Marriage & Family Therapist | 106-b Olympia Dr., Warner Robins, GA 31093 | 2016-02-16 |
| Find all providers in zip 31093 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992896773 | Subhi Ibrahim Sulieman | Internal Medicine | 2520 Watson Blvd, Warner Robins, GA 31093-2952 | 2006-09-27 |
| 1073547766 | Gary Myrthil | Internal Medicine | 107 Osigian Blvd Ste 100, Warner Robins, GA 31088-7891 | 2006-07-10 |
| 1730624214 | Quantum Medical Center Inc | Internal Medicine | 2520 Watson Blvd, Warner Robins, GA 31093-2952 | 2016-12-20 |
| 1508061151 | Hypertension and Kidney Associates of Middle Georgia, LLC | Internal Medicine | 105 Tommy Stalnaker Dr, Suite 1, Warner Robins, GA 31088-8956 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053968511 | Gwinnett Nephrology LLC | Internal Medicine | 1567 Janmar Rd Ste 100, Snellville, GA 30078-0308 | 2019-08-20 |
| 1063070654 | Kidney Specialists of Georgia PC | Internal Medicine | 575 Professional Dr Ste 290, Lawrenceville, GA 30046-3347 | 2019-05-30 |
| 1295219103 | Renal Associates of Lagrange LLC | Internal Medicine | 1300 Lafayette Pkwy Ste D, Lagrange, GA 30241-2610 | 2018-09-18 |
| 1912484395 | Atlanta Kidney Care LLC | Internal Medicine | 1462 Montreal Rd Ste 214, Tucker, GA 30084-6931 | 2018-07-27 |
| 1932591948 | Georgia Renal and Hypertension Care Inc | Internal Medicine | 928 S Park St, Suite H, Carrollton, GA 30117-4501 | 2015-02-27 |
| 1316344492 | Oconee Nephrology Associates, Inc. | Internal Medicine | 700 Oglethorpe Ave., Suite B1, Athens, GA 30606 | 2014-12-04 |
| 1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
| 1306265384 | Srikar Kumar | Internal Medicine | 250 Village Center Pkwy Ste 100, Stockbridge, GA 30281-9104 | 2014-04-07 |
| 1477995868 | Moti Samaki | Internal Medicine | 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606-2184 | 2013-07-25 |
| 1902143233 | Barry Jay Rosenbaum | Internal Medicine | 2000 Castleway Dr Ne, Atlanta, GA 30345-3914 | 2013-01-07 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31093 |
Please comment or provide details below to improve the information on PHYSICIAN CONSULTANTS OF GEORGIA WARNER ROBINS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.