IDSA, LLC (NPI# 1447261987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447261987 |
| Entity Type | Organization |
| Organization Name | IDSA, LLC |
| Practice Address |
1118 Morningside Dr Ste B Perry GA 31069-4949 |
| Mailing Address |
2929 Watson Blvd St 2 # 341 Warner Robins GA 31093-3612 |
| Practice Telephone | 4783968783 |
| Mailing Telephone | 4783968783 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | NALINI A PATEL (OWNER) |
| Authorized Official Telephone | 4783968783 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
========= | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1118 MORNINGSIDE DR STE B |
| City | PERRY |
| State | GA |
| Zip Code | 31069-4949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811543184 | Middle Georgia Surgical Institute | Clinic/Center | 1118 Morningside Dr Ste B, Perry, GA 31069-4949 | 2019-08-13 |
| 1891074464 | Patrick Nartey Narh-martey | Surgery | 1118 Morningside Dr Ste B, Perry, GA 31069-4949 | 2011-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114924 | Rebecca Lyn Parker | Pharmacist | 302 Walton Chase, Perry, GA 31069 | 2018-11-27 |
| 1437637568 | Joshua Thomas Guley | Dentist | 2161 Houston Lake Road Hwy 127, Perry, GA 31069 | 2018-07-31 |
| 1043755531 | Otha Everett | Counselor | 733-b Carroll Street, Perry, GA 31069 | 2016-12-20 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1639535628 | Holly Lavender | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069 | 2016-01-07 |
| 1598049918 | Spencer D Shugart | Physical Therapist | 1202 Macon Rd, Perry, GA 31069 | 2011-10-04 |
| 1154638518 | Middle Georgia Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 1040 Morningside Drive, Perry, GA 31069 | 2010-09-07 |
| 1922203686 | Sarah Pearson Velasquez | Nurse Practitioner | 1024 Keith Drive, Perry, GA 31069 | 2007-06-20 |
| 1417008004 | Bruce Duwayne Sampson | Internal Medicine | 1019 Keith Drive, Suite A, Perry, GA 31069 | 2007-01-12 |
| 1104839125 | Harold Brian Gillis | Chiropractor | 1207 Main Street Suite C, Perry, GA 31069 | 2006-08-14 |
| Find all providers in zip 31069 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1376168468 | Gina Askar | Internal Medicine | 1399 Walton Way Apt 203, Augusta, GA 30901-2683 | 2020-06-15 |
| 1417571175 | Infusimed, LLC | Internal Medicine | 2193 Cascade Rd Sw, Atlanta, GA 30311-2862 | 2020-05-28 |
| 1528689841 | Elysium Health and Wellness | Internal Medicine | 5555 Peachtree Dunwoody Rd Ste 201, Atlanta, GA 30342-1711 | 2020-04-27 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1942635081 | Faebris Medical & Community Education | Internal Medicine | 3939 Lavista Rd Ste E-310, Tucker, GA 30084-5162 | 2013-09-09 |
| 1275970253 | Bernard M Branson | Internal Medicine | 2175 Eldorado Dr Ne, Atlanta, GA 30345-3414 | 2013-05-30 |
| 1437491917 | John E Mcgowan Jr. | Internal Medicine | 2421 Oak Grove Valley Rd Ne, Atlanta, GA 30345-3885 | 2013-03-21 |
| 1831439744 | Frank Owen Evans Jr. | Internal Medicine | 220 E Montgomery St, Milledgeville, GA 31061-3533 | 2013-03-01 |
| 1972863629 | Jacobo Leon | Internal Medicine | 1500 Oglethorpe Ave Ste 300b, Athens, GA 30606-2181 | 2012-05-29 |
| Find all providers with the same taxonomy | ||||
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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.