MR. VINCE GOLDEN (NPI# 1689818429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689818429 |
| Entity Type | Individual |
| Full Name | MR. VINCE GOLDEN |
| Practice Address |
640 Martin Luther King Jr Blvd Suite 200 Macon GA 31201-3206 |
| Practice Telephone | 4787425850 |
| Practice Fax Number | 4787425860 |
| Mailing Telephone | 4787425850 |
| Mailing Fax Number | 4787425860 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
LD002556 | GA | Dietary & Nutritional Service Providers |
| Street Address |
640 MARTIN LUTHER KING JR BLVD SUITE 200 |
| City | MACON |
| State | GA |
| Zip Code | 31201-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541078 | Azmi A Kabbani | Internal Medicine | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3206 | 2005-07-07 |
| 1659519692 | Adam Norman Rhoades | Physician Assistant | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3206 | 2009-01-29 |
| 1548429822 | Kidney Dialysis Center, LLC | Clinic/Center | 640 Martin Luther King Jr Blvd, Suite 100, Macon, GA 31201-3206 | 2008-06-03 |
| 1023275617 | Swathi Singanamala | Internal Medicine | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3297 | 2008-05-21 |
| 1063679769 | Niraj Desai | Internal Medicine | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3206 | 2008-05-20 |
| 1912914847 | Macon Medical Group PC | Internal Medicine | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3206 | 2006-08-02 |
| 1952300469 | Ludwig V Cavaliere | Internal Medicine | 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201-3206 | 2005-07-18 |
| 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 | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265839 | Mina Xia | Dietitian, Registered | 7007 Kingswood Run Dr, Atlanta, GA 30340-1865 | 2020-11-03 |
| 1053979690 | Vanessa Lynn Hunt | Dietitian, Registered | 4276 Courtside Dr, Stone Mountain, GA 30083-1292 | 2019-05-30 |
| 1164838173 | Sally Butler Stieghan | Dietitian, Registered | 222 14th St Ne Apt 213, Atlanta, GA 30309-7681 | 2014-07-10 |
| 1265718928 | Practical Wellness LLC | Dietitian, Registered | 889 Stallings Ave Se, Atlanta, GA 30316-2209 | 2011-10-26 |
| 1073793766 | Christy Leigh Roberts | Dietitian, Registered | 190 Calhoun Rd, Griffin, GA 30224-7829 | 2007-11-09 |
| 1225220866 | Nutrition 411 Beverly Ford Rd Ld LLC | Dietitian, Registered | 2425 Williams St, Augusta, GA 30904-6127 | 2007-08-17 |
| 1487873352 | Cynthia Goudeau | Dietitian, Registered | 1830 Niskey Cove Rd Sw, Atlanta, GA 30331-6339 | 2007-04-25 |
| 1457440786 | Amanda Jo Redden | Dietitian, Registered | 22 Camden Cir, Newnan, GA 30265-5551 | 2006-10-12 |
| 1316057862 | Mary Etta James Gresham | Dietitian, Registered | 5330 Cayuga Ct, Lithonia, GA 30038-1106 | 2006-08-30 |
| 1376579656 | Melissa Ann Krentzman | Dietitian, Registered | 1685 Barfield Run Nw, Atlanta, GA 30318-2778 | 2006-06-25 |
| 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.