Richard L Ingram (NPI# 1629072699, PAC ID# 3476576547) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1629072699 |
| PAC ID by PECOS | 3476576547 |
| Professional Enrollment ID | I20060104000825 |
| Full Name | Richard L Ingram |
| Organization Legal Name | LAGRANGE INTERNAL MEDICINE, PC |
| Address |
1602 Vernon Rd Suite 400 Lagrange GA 30240-4129 |
| Phone Number | 7068829341 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4183663750 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110016 | WEST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4129 | 7068829341 | LAGRANGE INTERNAL MEDICINE, PC |
| Organization Legal Name | LAGRANGE INTERNAL MEDICINE, PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amir Usman | Internal Medicine | Lagrange Internal Medicine, PC | 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4129 |
| Sana M Makhdoom | Rheumatology | Lagrange Internal Medicine, PC | 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4129 |
| Arnold Smalls | Internal Medicine | Lagrange Internal Medicine, PC | 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4129 |
| Robert Stout | Internal Medicine | Lagrange Internal Medicine, PC | 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4129 |
| Warren Henderson | Internal Medicine | Lagrange Internal Medicine, PC | 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4129 |
| Kenneth Gordon | Internal Medicine | Lagrange Internal Medicine, PC | 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4129 |
| Street Address |
1602 VERNON RD SUITE 400 |
| City | LAGRANGE |
| State | GA |
| Zip | 30240-4129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amir Usman | Internal Medicine | Lagrange Internal Medicine, PC | 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4129 |
| Sana M Makhdoom | Rheumatology | Lagrange Internal Medicine, PC | 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4129 |
| Arnold Smalls | Internal Medicine | Lagrange Internal Medicine, PC | 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4129 |
| Robert Stout | Internal Medicine | Lagrange Internal Medicine, PC | 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4129 |
| Vivian Hutton | Physician Assistant | Wellstar Medical Group, LLC | 1602 Vernon Rd, Suite 300, Lagrange, GA 30240-4129 |
| Alexander T Gedevanishvili | Cardiovascular Disease (cardiology) | Wellstar Medical Group, LLC | 1602 Vernon Rd, Suite 300, Lagrange, GA 30240-4129 |
| Thomas B. Gore | Cardiovascular Disease (cardiology) | Wellstar Medical Group, LLC | 1602 Vernon Rd, Suite 300, Lagrange, GA 30240-4129 |
| Warren Henderson | Internal Medicine | Lagrange Internal Medicine, PC | 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4129 |
| Kenneth Gordon | Internal Medicine | Lagrange Internal Medicine, PC | 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4129 |
| Michael A Bakarich | Obstetrics/gynecology | Gynecology and Obstetrics Professional Group of West Georgia PC | 1602 Vernon Rd, Suite 200, Lagrange, GA 30240-4100 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Swaroop N Nyshadham | General Practice | 1990 Lukken Industrial Dr W, Suite C, Lagrange, GA 30240-1404 | |
| James B Brown | Optometry | 803 New Franklin Rd, Lagrange, GA 30240-1843 | |
| Stephan M Langston | Chiropractic | 403 Ridley Ave, Lagrange, GA 30240-2231 | |
| Shannon K Dunlap | Psychologist, Clinical | 610 Ridley Ave, Lagrange, GA 30240-2236 | |
| Ashley Miller | Nurse Practitioner | Georgia Pain and Spine Care, Inc | 303 Smith St, Fl 2, Lagrange, GA 30240-2745 |
| Kent Remley | Interventional Radiology | Georgia Pain and Spine Care, Inc | 303 Smith St, Fl 2, Lagrange, GA 30240-2745 |
| Jerry M Overall | Optometry | 208 Smith St, Lagrange, GA 30240-2755 | |
| Margaret Darden Brown | Clinical Social Worker | 100 Smith St, Suite 1, Lagrange, GA 30240-2780 | |
| James R Aspinwall | Chiropractic | Aspinwall Chiropractic Clinic, L.L.C. | 302 S Greenwood St, Lagrange, GA 30240-3122 |
| David P Dresselhaus | Chiropractic | Aspinwall Chiropractic Clinic, L.L.C. | 302 S Greenwood St, Lagrange, GA 30240-3122 |
| Find all physicians in zip 30240 | |||
| City | LAGRANGE |
| Zip Code | 30240 |
| Specialty | NEPHROLOGY |
| City + Specialty | LAGRANGE + NEPHROLOGY |
Please comment or provide details below to improve the information on Richard L Ingram.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.