PHOEBE PHYSICIAN GROUP, INC (NPI# 1255794541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255794541 |
| Entity Type | Organization |
| Organization Name | PHOEBE PHYSICIAN GROUP, INC |
| Other Organization Name | PHOEBE ELECTROPHYSIOLOGY |
| Practice Address |
425 W 3rd Ave Ste 700 Albany GA 31701-1969 |
| Mailing Address |
500 W 3rd Ave Ste 101 Albany GA 31701-1985 |
| Practice Telephone | 2293127790 |
| Practice Fax Number | 2293127795 |
| Mailing Telephone | 2293125800 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |
| Authorized Official Name | JEFF HEAD (CFO) |
| Authorized Official Telephone | 2293126721 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOEBE PHYSICIAN GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
059422 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
059422 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Phoebe Electrophysiology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902250434 | Phoebe Physician Group, Inc | Physical Therapist | 311 W 3rd Ave, Albany, GA 31701-2093 | 2016-04-21 |
| 1871956177 | Phoebe Physician Group, Inc | Clinic/Center | 417 W 4th Ave, Albany, GA 31701-1915 | 2016-04-04 |
| Street Address |
425 W 3RD AVE STE 700 |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790929859 | Edward Kojo-eyiah Koomson | Internal Medicine | 425 W 3rd Ave Ste 700, Albany, GA 31701-1969 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1790929859 | Edward Kojo-eyiah Koomson | Internal Medicine | 425 W 3rd Ave Ste 700, Albany, GA 31701-1969 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194252510 | Baptist Cardiology Inc | Internal Medicine | 2060 Dan Proctor Dr Ste 3300, Saint Marys, GA 31558-3894 | 2017-05-16 |
| 1639519929 | Bernard Sayed Harbieh | Internal Medicine | 2112 Lenox Park Cir Ne, Atlanta, GA 30319-5355 | 2013-07-01 |
| 1407099575 | Kavita Perumal Krishnasamy | Internal Medicine | 1267 Highway 54 W Ste 4100, Fayetteville, GA 30214-2112 | 2009-04-19 |
| 1306923495 | Macon Electrophysiology Associates | Internal Medicine | 639 Hemlock Str, Ste 100, Macon, GA 31201 | 2006-11-01 |
| 1902980527 | Joseph W Poku | Internal Medicine | 639 Hemlock St, Suite 100, Macon, GA 31201-6886 | 2006-10-24 |
| 1780779363 | Central Georgia Heart Center, PC | Internal Medicine | 1062 Forsyth St., Suite 1b, Macon, GA 31201 | 2006-10-03 |
| 1609820075 | Joon Ahn | Internal Medicine | 200 S Enota Dr Ne Ste 480, Gainesville, GA 30501-3473 | 2006-05-20 |
| 1821097296 | Stephen Peyton Prater | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2005-07-19 |
| 1447868278 | Peachtree Cardiology | Internal Medicine | 190 Greencastle Rd, Tyrone, GA 30290-2936 | 2020-07-17 |
| 1730662750 | Twin Arrhythmia Group, LLC | Internal Medicine | 770 Pine St Ste 200, Macon, GA 31201-7513 | 2018-09-14 |
| 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.