OCMULGEE INTERNAL MEDICINE AND NEPHROLOGY, LLC (NPI# 1295992568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295992568 |
| Entity Type | Organization |
| Organization Name | OCMULGEE INTERNAL MEDICINE AND NEPHROLOGY, LLC |
| Other Organization Name | OCMULGEE INTERNAL MEDICINE AND NEPHROLOGY |
| Practice Address |
911 Plaza Ave Eastman GA 31023-6785 |
| Practice Telephone | 1111111111 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | MIKE HESTER (CFO) |
| Authorized Official Telephone | 4784484050 |
| 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 |
|---|---|
| Ocmulgee Internal Medicine and Nephrology | Other Name - Individual/Organization |
| Street Address |
911 PLAZA AVE |
| City | EASTMAN |
| State | GA |
| Zip Code | 31023-6785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487636742 | Michael Todd Peacock | Specialist | 911 Plaza Ave, Suite C, Eastman, GA 31023-6785 | 2005-11-14 |
| 1912447038 | Taylor Physicians Clinic | Internal Medicine | 911 Plaza Ave, Eastman, GA 31023-6785 | 2017-03-08 |
| 1831490895 | Dodge County Hospital Authority | Clinic/Center | 911 Plaza Ave, Eastman, GA 31023-6785 | 2010-11-08 |
| 1831411545 | Habigaile Cribe, Md LLC | Internal Medicine | 911 Plaza Ave, Suite B, Eastman, GA 31023-6785 | 2010-02-22 |
| 1669705877 | Donald A. Selph Jr.md PC | Internal Medicine | 911 Plaza Ave, Suite D, Eastman, GA 31023-6785 | 2009-09-08 |
| 1720243124 | Ocmulgee Medical Services, LLC | Internal Medicine | 911 Plaza Ave, Eastman, GA 31023-6785 | 2008-07-24 |
| 1588853055 | James H Tison Md PC | Internal Medicine | 911 Plaza Ave, Eastman, GA 31023-6785 | 2007-10-19 |
| 1295940419 | M. Todd Peacock, M.d., P.C. | Internal Medicine | 911 Plaza Ave, Suite C, Eastman, GA 31023-6785 | 2007-05-11 |
| 1275592255 | Habigaile Cribe | Internal Medicine | 911 Plaza Ave, Suite B, Eastman, GA 31023-2184 | 2006-03-20 |
| 1679553259 | Monroe Casteel Middlebrooks | Internal Medicine | 911 Plaza Ave, Suite E., Eastman, GA 31023-6785 | 2006-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| 1174832232 | Lynetta Davies | Counselor | 17 Tanner Dr, Eastmon, GA 31023 | 2010-10-06 |
| 1467774380 | Dustin Phillip Smith | Chiropractor | 285 Plaza Avenue, Eastman, GA 31023 | 2010-02-19 |
| 1639311145 | D&b Home Care Inc | Durable Medical Equipment & Medical Supplies | 714 Medical Center Drive, Eastman, GA 31023 | 2009-03-30 |
| 1427273465 | Hospice Care Options Inc | Hospice Care, Community Based | 715 Legion Dr, Eastman, GA 31023 | 2007-04-16 |
| 1740318625 | Dana W Mullis | Dentist | 1003 Plaza Ave, Eastman, GA 31023 | 2007-03-01 |
| 1285787630 | 801 Legion LLC | Skilled Nursing Facility | 815 Legion Dr, Eastman, GA 31023 | 2007-01-19 |
| 1396813317 | Womens Health PC | Obstetrics & Gynecology | 821 Plaza Ave, Suite B, Eastman, GA 31023 | 2006-11-30 |
| 1932294170 | John D Roberts | Ophthalmology | 917 Plaza Avenue, Eastman, GA 31023 | 2006-10-04 |
| 1215030978 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 535 Oak St, Eastman, GA 31023 | 2006-09-07 |
| Find all providers in zip 31023 | ||||
| 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 |
|---|---|---|---|---|
| 1720243124 | Ocmulgee Medical Services, LLC | Internal Medicine | 911 Plaza Ave, Eastman, GA 31023-6785 | 2008-07-24 |
| 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 |
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| 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.