DR. NAZRUL ISLAM (NPI# 1629202841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629202841 |
| Entity Type | Individual |
| Full Name | DR. NAZRUL ISLAM |
| Other Name | DR. MOHAMMAD NAZRUL ISLAM |
| Credential | M.D. |
| Practice Address |
5398 Thomaston Rd Macon GA 31220-8110 |
| Mailing Address |
3114 W Beverly Blvd Montebello CA 90640-2217 |
| Practice Telephone | 4784768868 |
| Mailing Telephone | 3104087804 |
| Mailing Fax Number | 3237263870 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A102426 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154433431 | Nazrul Islam | Psychiatry & Neurology | 1600 W 38th St, Suite 415, Austin, TX 78731-6400 | 2006-08-31 |
| Street Address |
5398 THOMASTON RD |
| City | MACON |
| State | GA |
| Zip Code | 31220-8110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174679062 | Stacey Smoot Owen | Psychologist | 5398 Thomaston Rd, Suite B, Macon, GA 31220-8110 | 2007-01-25 |
| 1265041362 | Courtney Randall | Nurse Practitioner | 5398 Thomaston Rd, Macon, GA 31220-8110 | 2020-07-24 |
| 1255720587 | Crystal Underwood Walker | Dietitian, Registered | 5398 Thomaston Rd, Macon, GA 31220-8110 | 2015-01-09 |
| 1093956781 | Robin Rohn Witt | Dietitian, Registered | 5398 Thomaston Rd, Suite B, Macon, GA 31220-8110 | 2009-03-10 |
| 1013152362 | Jennifer Dawn Mccullough | Psychiatry & Neurology | 5398 Thomaston Rd, Macon, GA 31220-8110 | 2008-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864979 | Kenwana Michelle Vanderbilt | Psychologist | Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA 31220 | 2013-03-05 |
| 1720287345 | Lynda Jean Logan | Registered Nurse | 5398 Thomaston Road Suite B, Macon, GA 31220 | 2007-07-13 |
| 1811085434 | Timmi Hagan | Dentist | 4196 Cavalier Dr, Macon, GA 31220 | 2006-10-10 |
| 1154375756 | Lois Jane Macdonnell | Psychiatry & Neurology | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-19 |
| 1508129438 | Venyette Thomas | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220 | 2012-06-15 |
| 1710260575 | Vijay H Patel | Pharmacist | 1280 Gray Hwy, Macon, GA 31220 | 2011-09-27 |
| 1023065638 | Dublin Vamc | Clinic/Center | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-28 |
| 1386847614 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2007-06-06 |
| 1588128581 | Samuel Scott Collier | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2019-01-24 |
| 1841652310 | Christopher Hayes | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-03-24 |
| Find all providers in zip 31220 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1174011811 | Frances Barnes Grant | Internal Medicine | 1842 Waverland Cir, Macon, GA 31211-1116 | 2018-04-27 |
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1598295719 | Lori Starr | Internal Medicine | 446 Poplar St Ste B, Macon, GA 31201-3336 | 2017-06-20 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1720456163 | Wellness Connect | Internal Medicine | 1209 Marlowe Dr, Macon, GA 31210-3107 | 2015-09-02 |
| 1396157657 | Almatmed H Mohamed Abdelsalam | Internal Medicine | 657 Hemlock St Ste 220, Macon, GA 31201-8311 | 2014-05-21 |
| 1114369865 | Douglas Farman Md LLC | Internal Medicine | 310 Hospital Dr Ste 320, Macon, GA 31217-8027 | 2013-07-23 |
| 1528328796 | Ahmad Azmi Kabbani | Internal Medicine | 640 Martin Luther King Jr Blvd Ste 200, Macon, GA 31201-3297 | 2012-05-22 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1649414657 | Lillette A Intaphan Md LLC | Internal Medicine | 432 Poplar St, Suite B, Macon, GA 31201-3336 | 2009-04-22 |
| 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.