PEDIATRIC PULMONOLOGY OF CENTRAL GA (NPI# 1629356670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629356670 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PULMONOLOGY OF CENTRAL GA |
| Practice Address |
1062 Forsyth St Suite 2 C Macon GA 31201-8637 |
| Practice Telephone | 4787550036 |
| Practice Fax Number | 4787551254 |
| Mailing Telephone | 4787550036 |
| Mailing Fax Number | 4787551254 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2012-03-20 |
| Authorized Official Name | TAMMY R COBB (BILLING MGR) |
| Authorized Official Telephone | 4787550036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000670535J | 05 | |
| WELLCARE | 319745 | 01 |
| Street Address |
1062 FORSYTH ST SUITE 2 C |
| City | MACON |
| State | GA |
| Zip Code | 31201-8637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982648200 | Gretchen D Suk | Physician Assistant | 1062 Forsyth St, Suite 1b, Macon, GA 31201-8637 | 2006-06-16 |
| 1659931277 | Jessica Annelle Malone | Nurse Practitioner | 1062 Forsyth St, Macon, GA 31201-8637 | 2019-06-17 |
| 1902327679 | Kayla Lovett | Nurse Practitioner | 1062 Forsyth St, Macon, GA 31201-8637 | 2017-07-03 |
| 1710382320 | Central Georgia Vein Center | Phlebology | 1062 Forsyth St, #2d, Macon, GA 31201-8637 | 2014-10-24 |
| 1376970103 | Laura Callaway | Advanced Practice Midwife | 1062 Forsyth St, Suite 3b, Macon, GA 31201-8637 | 2013-10-11 |
| 1972939924 | Ashley Danielle Amos | Advanced Practice Midwife | 1062 Forsyth St, Suite 3b, Macon, GA 31201-8637 | 2013-09-23 |
| 1730513714 | Linda S. Ash, M.d. | Internal Medicine | 1062 Forsyth St, Suite 1a, Macon, GA 31201-8637 | 2013-08-27 |
| 1255672523 | Margaret M Nichols Md LLC | Family Medicine | 1062 Forsyth St, Ste 3e, Macon, GA 31201-8637 | 2013-03-11 |
| 1659630945 | Jessica Crowe Roberts | Nurse Practitioner | 1062 Forsyth St, Suite 1-b, Macon, GA 31201-8637 | 2012-05-08 |
| 1124393673 | Women's Health of Macon, LLC | Obstetrics & Gynecology | 1062 Forsyth St, Suite 2e, Macon, GA 31201-8631 | 2012-03-16 |
| Find all providers in the same location | ||||
| 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 | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881630655 | James J Logan | Pediatrics | 1062 Forsyth St, Suite 2c, Macon, GA 31201-8637 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518200369 | Sheel Nitin Shah | Pediatrics | 1400 Tullie Rd Ne Fl 7, Atlanta, GA 30329-2309 | 2013-03-30 |
| 1619109170 | Gabriele Renzetti | Pediatrics | 2015 Uppergate Dr Fl 3, Atlanta, GA 30322-0001 | 2009-08-18 |
| 1134270440 | Varada Dinkar Divgi | Pediatrics | 4468 Chamblee Dunwoody Rd, Suite M3, Atlanta, GA 30338-6253 | 2007-01-15 |
| 1952415184 | Daniel Matthew Torrez | Pediatrics | 1547 Clifton Rd Ne, Atlanta, GA 30322-4008 | 2006-08-17 |
| 1124068101 | Peter H Scott | Pediatrics | 1100 Lake Hearn Dr, Ste 450, Atlanta, GA 30342 | 2006-06-07 |
| 1730443680 | Ajay Srinivas Kasi | Pediatrics | 1605 Chantilly Dr Ne, Atlanta, GA 30324-3267 | 2012-06-26 |
| 1225396716 | Brandon Michael Seay | Pediatrics | 859 Mount Vernon Hwy Ne Ste 300, Atlanta, GA 30328-4255 | 2012-05-02 |
| 1356668537 | Eric Wesley Price | Pediatrics | 2015 Uppergate Dr, Atlanta, GA 30322-0001 | 2010-04-27 |
| 1538396007 | Rachel W Linnemann | Pediatrics | 1400 Tullie Rd Ne Fl 5, Atlanta, GA 30329 | 2009-06-11 |
| 1639355142 | Allan Antonio Dias | Pediatrics | 1100 Lake Hearn Dr Ne, Suite 450, Atlanta, GA 30342-1523 | 2008-01-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PEDIATRIC PULMONOLOGY OF CENTRAL GA.
| 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.