JACQUELINE AKUA OWUSU


Address: 5401 Gunboat Dr # 27, Columbus, GA 31907-1498
Phone: 8555754622

JACQUELINE AKUA OWUSU (NPI# 1023182748) 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) 1023182748
Entity Type Individual
Full Name JACQUELINE AKUA OWUSU
Credential MD
Practice Address 5401 Gunboat Dr # 27
Columbus
GA 31907-1498
Mailing Address 3535 Grovecrest Way
Duluth
GA 30096-6694
Practice Telephone 8555754622
Mailing Telephone 9173195411
Enumeration Date 2006-11-17
Last Update Date 2020-09-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 055870 GA Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine 055870 GA Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 055870 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA CAQH 11674408 01
GA 280803795A 05
GA MEDICARE PTAN HOSPITALIST OF DUBLIN GRP4787 01
GA AMERIGROUP 05390548 01
GA GA STATE LICENSE 055870 01
GA WELLCARE 1539774 01
GA 280803795J 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
901 Griffin Ave, Eastman, GA 310236720 4784484000
541 Historic Hwy 441-n, Demorest, GA 305354528 7705336521 7705357445
710 Center St, Columbus, GA 319011527 7065711000

Other Providers JACQUELINE OWUSU

NPI Name Taxonomy Address Enumeration
1447810437 Jacqueline Osei Owusu Behavioral Analyst 1501 Main St Ste 29, Tewksbury, MA 01876-4700 2019-06-20

Office Location

Street Address 5401 GUNBOAT DR # 27
City COLUMBUS
State GA
Zip Code 31907-1498

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730702051 At Ease Private Home Care, LLC Home Health 3906 Pond View Court, Columbus, GA 31907 2020-05-20
1285268219 Mh 102, PC Nurse Practitioner 1 Aflac Parkway, Columbus, GA 31907 2020-02-28
1427602978 Alicia Keeshan Taylor Massage Therapist 5401 Gunboat Dr Unit 31, Columbus, GA 31907 2019-08-01
1285101071 Valerie Rena Bickham Chore Provider 1259 Bismarck Drive, Columbus, GA 31907 2018-10-30
1629555172 West Georgia Regenerative Medicine LLC Physical Therapist 3624 Edgewood Rd Ste B, Columbus, GA 31907 2018-07-26
1659866747 Transitional Independence, LLC In Home Supportive Care 5633 Lexington Dr, Columbus, GA 31907 2018-06-29
1598285892 Aa Personal Care, LLC Nursing Care 547 Moye Rd, Columbus, GA 31907 2017-06-27
1366981573 Sabrina Renae Crosby Lopes Counselor 1120 21st Unit -a, Columbus, GA 31907 2017-02-21
1326445073 Angela James Nurse Practitioner 6400 Flatrock Road, Columbus, GA 31907 2014-11-24
1841617255 Sabrina Ann Patterson Community Health Worker 2726 Courtland, Columbus, GA 31907 2014-03-24
Find all providers in zip 31907

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023577319 Shilpa Sridhar Internal Medicine 720 W 3rd Ave Apt 335, Columbus, OH 43212-3162 2019-03-15
1366947913 Mary Elise Hanks Internal Medicine Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 2018-03-27
1699279323 Timothy Ming-li Pian Internal Medicine Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 2018-03-19
1174051809 Melissa Christine Kander Internal Medicine 4830 Knightsbridge Blvd Ste A, Columbus, OH 43214-2300 2017-05-25
1831623115 Sumiya Ahmed Internal Medicine 23203 Columbus Rd Ste I, Columbus, NJ 08022-1985 2017-04-13
1699209023 Karenpreet Brar Internal Medicine 4310 Clime Rd Ste A, Columbus, OH 43228-3496 2017-04-12
1194173864 Nishant Dagli Internal Medicine 50 N Wilson Rd, Columbus, OH 43204-1214 2016-06-02
1457714933 Matthew Isaac Lyons Internal Medicine 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 2016-04-01
1013379080 Melissa Lau Internal Medicine 395 W 12th Avenue, Third Floor, Columbus, OH 43210-1240 2016-03-28
1285096453 Katherine Frances Ernst Internal Medicine 1405 S High St, Osu/nch Internal Medicine-pediatric Residency Program, Columbus, OH 43207-1043 2016-03-25
Find all providers in COLUMBUS

Competitor

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City COLUMBUS
Zip Code 31907

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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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