MRS. ANGELA CUDGER KENMEGNE


Address: 380 Hospital Dr, Suite 410, Macon, GA 31217
Phone: 4787465644

MRS. ANGELA CUDGER KENMEGNE (NPI# 1720376833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720376833
Entity Type Individual
Full Name MRS. ANGELA CUDGER KENMEGNE
Credential PA-A
Practice Address 380 Hospital Dr
Suite 410
Macon
GA 31217
Mailing Address Po Box 2564
Macon
GA 31203-2564
Practice Telephone 4787465644
Practice Fax Number 4787454849
Mailing Telephone 4787465644
Enumeration Date 2011-07-11
Last Update Date 2013-09-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant 6865 GA Physician Assistants & Advanced Practice Nursing Providers
N 367H00000X Anesthesiologist Assistant 1255 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003135897A 05
GA 003135897B 05
GA 003135897D 05
GA AMERIGROUP 01869603 01
GA 003135897C 05

Office Location

Street Address 380 HOSPITAL DR
SUITE 410
City MACON
State GA
Zip Code 31217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841286978 Harvey Burton Roddenberry Obstetrics & Gynecology 380 Hospital Dr, Suite 100, Macon, GA 31217-8001 2005-09-23
1225664378 Mattie Larae Erby Student in an Organized Health Care Education/Training Program 380 Hospital Dr, Building A, Suite 430, Macon, GA 31217 2020-03-20
1386209815 Adelina Roxana Buganu Emergency Medicine 380 Hospital Dr, Macon, GA 31217-8001 2019-05-09
1396278933 Brandon Kirshner Internal Medicine 380 Hospital Dr, Suite 380, Macon, GA 31217-8001 2017-04-11
1033643572 Nicholas Monaco Student in an Organized Health Care Education/Training Program 380 Hospital Dr, Suite 430, Macon, GA 31217-8001 2017-04-11
1013440957 Ruth Osondu Student in an Organized Health Care Education/Training Program 380 Hospital Dr, Stuite 430 Coliseum Medical Centers, Macon, GA 31217-8017 2017-04-07
1528591443 Tamie Wells Student in an Organized Health Care Education/Training Program 380 Hospital Dr, Suite 430, Macon, GA 31217-8001 2017-04-07
1205369253 Ivania Trinidad Irby Student in an Organized Health Care Education/Training Program 380 Hospital Dr, Bldg A, Ste 430, Macon, GA 31217-8001 2017-04-06
1679005730 Anum Amir Niazi Internal Medicine 380 Hospital Dr, Suite 430, Macon, GA 31217-8001 2017-03-29
1497286900 Muhammad Uneib Student in an Organized Health Care Education/Training Program 380 Hospital Dr, Suite 430, Macon, GA 31217-8001 2017-03-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326535998 Khuzema Mohsin Student in an Organized Health Care Education/Training Program 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 2018-04-18
1083135271 Angela Polk Nurse Practitioner 310 Hospital Dr Ste 305, Macon, GA 31217 2017-06-28
1235662305 Natalie Rodziewicz Student in an Organized Health Care Education/Training Program 380 Hospital Drive, Suite 430, Macon, GA 31217 2017-04-06
1427430180 Brett Forehand Nurse Practitioner 330 Hospital Dr Ste 304, Macon, GA 31217 2015-06-18
1376772640 Beverly Barksdale Sanders IIi Internal Medicine 330 Hospital Dr., Ste. 304, Macon, GA 31217 2009-07-08
1528218393 Vladimir Zahradnik Surgery 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 2008-09-29
1821274267 Mary Charmaine Estrella Campana Physical Therapist 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 2008-01-16
1033300785 Joann Sams Sinclair Nurse Practitioner 4164 Riggins Mill Road, Macon, GA 31217 2007-08-07
1376689737 Grier Godfrey Dentist Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 2007-01-30
1053408328 Sujatha K. Reddy Psychiatry & Neurology 175 Emery Highway, Macon, GA 31217 2006-10-06
Find all providers in zip 31217

Taxonomy Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801446455 Mednax Anesthesiologist Assistant 770 Pine St Ste L40, Macon, GA 31201-7521 2019-09-16
1689895591 David Luce Anesthesiologist Assistant 777 Hemlock Street, Macon, GA 31201 2007-05-01
1306814249 Catherine D Davis Anesthesiologist Assistant 624 Bellgrove Pt, Macon, GA 31220-7621 2006-03-08
1669081113 Sabrina L. Singleton Anesthesiologist Assistant 777 Hemlock St, Macon, GA 31201-2102 2020-07-29
1952932881 Shelby Laray Kelley Anesthesiologist Assistant 777 Hemlock St, Macon, GA 31201-2102 2020-01-29
1407494636 Tyler Brice Akins Anesthesiologist Assistant 777 Hemlock St, Macon, GA 31201-2102 2019-12-18
1205486362 Alie Mulkey Anesthesiologist Assistant 770 Pine St Ste L40, Macon, GA 31201-7521 2019-09-19
1548778392 Samantha Ryce Dillon Anesthesiologist Assistant 777 Hemlock St, Macon, GA 31201-2102 2018-01-15
1306356860 Jesse Michael Anesthesiologist Assistant 380 Hospital Dr Ste 410, Macon, GA 31217-8014 2017-10-10
1487106548 Caitlin Emily George Anesthesiologist Assistant 777 Hemlock St, Macon, GA 31201-2102 2016-10-25
Find all providers in MACON

Competitor

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City MACON
Zip Code 31217

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Dataset Information

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.

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