CLEMENT C NWOSU (NPI# 1659439107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659439107 |
| Entity Type | Individual |
| Full Name | CLEMENT C NWOSU |
| Credential | M.D. |
| Practice Address |
1122 Gray Hwy Ste 4 Macon GA 31211-1869 |
| Practice Telephone | 4787458309 |
| Practice Fax Number | 4787458364 |
| Mailing Telephone | 4787458309 |
| Mailing Fax Number | 4787458364 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2013-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
033504 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000442516B | 05 | |
| GA | 000442516A | 05 |
| Street Address |
1122 GRAY HWY STE 4 |
| City | MACON |
| State | GA |
| Zip Code | 31211-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083157226 | United Home Care Services LLC | Nursing Care | 1122 Gray Hwy, Macon, GA 31211-1869 | 2016-11-21 |
| 1225301781 | Middle Georgia Internal Medicine & Kidney Diseases | Internal Medicine | 1122 Gray Hwy, Suite 4, Macon, GA 31211-1869 | 2012-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821512393 | Bridgette Rebecca Harrison | Nurse Practitioner | 193 John Michael Drive, Macon, GA 31211 | 2017-07-27 |
| 1861937443 | Daily Grace Adult Day Health Services, Inc | Custodial Care Facility | 868 Highway 49, Macon, GA 31211 | 2017-01-05 |
| 1306980008 | Consultants' Pharmacy | Pharmacy | 655 North Ave, Ste B, Macon, GA 31211 | 2007-02-16 |
| 1710020870 | Smith Management Services LLC | Pharmacy | 655 North Ave Ste A, Macon, GA 31211 | 2007-02-15 |
| 1346305281 | Lillas Lindsley James | Family Medicine | 1268 Jackson Springs Rd, Macon, GA 31211 | 2006-12-22 |
| 1841301686 | William Alan Schobel Sr. | Optometrist | 1376 Gray Highway, Downtown Opticians, Macon, GA 31211 | 2006-08-31 |
| 1326438086 | United Home Care Services,llc | Home Health | 1122 Gray Highway, Macon, GA 31211 | 2015-02-02 |
| 1114232436 | Michael H Leary | Optometrist | 1401 Gray Hwy, C/ O Walmart Optical, Macon, GA 31211 | 2010-08-11 |
| 1063572998 | River Edge Behavioral Health Center | Community/Behavioral Health | 2275 Gray Hwy, Apt. C-2, Macon, GA 31211-1069 | 2006-12-11 |
| 1598827594 | River Edge Behavioral Health Center | Community/Behavioral Health | 2275 Gray Hwy, Apt. C-2, Macon, GA 31211-1069 | 2006-12-15 |
| Find all providers in zip 31211 | ||||
| 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 |
|---|---|---|---|---|
| 1861663890 | Middle Ga Nephrology | Internal Medicine | 1122 Gray Highway, Suite 4, Macon, GA 31211-3207 | 2008-03-18 |
| 1609071448 | Kimathi Sipho Ricardo Blackwood | Internal Medicine | 890 Second Street, Suite 201, Macon, GA 31201-6863 | 2007-06-20 |
| 1114969110 | Reuben Kristian Ellis | Internal Medicine | 1445 Georgia Ave Ste 3, Macon, GA 31201-7612 | 2006-06-12 |
| 1164494696 | Stuart Bursten | Internal Medicine | 165 Emery Hwy Ste 100, Macon, GA 31217 | 2006-02-07 |
| 1962493379 | Mufid Ata Othman | Internal Medicine | 2525 2nd St, Suite 150, Macon, GA 31206-2223 | 2005-11-03 |
| 1376541078 | Azmi A Kabbani | Internal Medicine | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3206 | 2005-07-07 |
| 1154676377 | Marc Merched Saad | Internal Medicine | 1445 Georgia Ave Ste 3, Macon, GA 31201-7612 | 2012-07-14 |
| 1962762708 | Physician Consultants of Georgia | Internal Medicine | 1445 Georgia Ave, Suite 3, Macon, GA 31201-7610 | 2012-05-28 |
| 1225301781 | Middle Georgia Internal Medicine & Kidney Diseases | Internal Medicine | 1122 Gray Hwy, Suite 4, Macon, GA 31211-1869 | 2012-02-14 |
| 1962708891 | Kidney Center of Central Georgia, LLC | Internal Medicine | 2525 2nd St, Suite 150, Macon, GA 31206-2223 | 2011-02-10 |
| 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.