AE MARY IRWIN (NPI# 1306498605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306498605 |
| Entity Type | Individual |
| Full Name | AE MARY IRWIN |
| Other Name | AE MARY VILAYVONG |
| Practice Address |
840 Pine St Ste 880 Macon GA 31201-7525 |
| Practice Telephone | 4787437092 |
| Practice Fax Number | 4787436293 |
| Mailing Telephone | 4787437092 |
| Mailing Fax Number | 4787436293 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | RN110412 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
840 PINE ST STE 880 |
| City | MACON |
| State | GA |
| Zip Code | 31201-7525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770679250 | Michael T Lancaster | Nurse Practitioner | 840 Pine St Ste 880, Macon, GA 31201 | 2006-10-04 |
| 1255985719 | Christina Stonecypher | Neurological Surgery | 840 Pine St Ste 880, Macon, GA 31201 | 2019-08-01 |
| 1659857662 | Robert Ashley Brunson | Neurological Surgery | 840 Pine St Ste 880, Macon, GA 31201-7525 | 2018-07-12 |
| 1396263125 | Elizabeth Delores Thompson | Physician Assistant | 840 Pine St Ste 880, Macon, GA 31201 | 2017-08-31 |
| 1366870925 | Audrey Cabe | Physician Assistant | 840 Pine St Ste 880, Macon, GA 31201 | 2013-10-17 |
| 1457590481 | Marlene Briones Gamallo | Physical Therapist | 840 Pine St Ste 880, Macon, GA 31201-7525 | 2009-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932202066 | George S. Stefanis, Md PC | Neurological Surgery | 310 Hospital Dr Ste 205, Macon, GA 31217-8025 | 2006-09-06 |
| 1821042946 | Kevin Lee Stevenson | Neurological Surgery | 121 N Crest Blvd, Macon, GA 31210-1845 | 2006-05-22 |
| 1255985719 | Christina Stonecypher | Neurological Surgery | 840 Pine St Ste 880, Macon, GA 31201 | 2019-08-01 |
| 1659857662 | Robert Ashley Brunson | Neurological Surgery | 840 Pine St Ste 880, Macon, GA 31201-7525 | 2018-07-12 |
| 1750890562 | Tattnall Hospital Company LLC | Neurological Surgery | 121 N Crest Blvd, Macon, GA 31210-1845 | 2017-09-25 |
| 1790211399 | Bethesda Institute of Spine & Neurosurgery | Neurological Surgery | 420 Charter Blvd, #208, Macon, GA 31210-4854 | 2017-05-03 |
| 1801243894 | Konstantinos Fountas | Neurological Surgery | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2016-05-19 |
| 1356721484 | Neurology Services of Florida | Neurological Surgery | 761 Poplar St, Ste 1-k, Macon, GA 31201-2082 | 2015-06-03 |
| 1508120684 | Peter O. Holliday, IIi M.d. P.C. | Neurological Surgery | 420 Charter Blvd, Ste 402, Macon, GA 31210-4854 | 2012-07-03 |
| 1659678555 | Richard Aurelius Smith | Neurological Surgery | 5300 Zebulon Rd, Macon, GA 31210-2199 | 2011-02-12 |
| Find all providers in MACON | ||||
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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.