MACON ELECTROPHYSIOLOGY ASSOCIATES (NPI# 1306923495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306923495 |
| Entity Type | Organization |
| Organization Name | MACON ELECTROPHYSIOLOGY ASSOCIATES |
| Other Organization Name | GEORGIA ARRHYTHMIA CONSULTANTS & RESEARCH INSTITUTE |
| Practice Address |
639 Hemlock Str Ste 100 Macon GA 31201 |
| Practice Telephone | 4787551560 |
| Practice Fax Number | 4787551562 |
| Mailing Telephone | 4787551560 |
| Mailing Fax Number | 4787551562 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | KINDLE BUSBEE (ADMIN) |
| Authorized Official Telephone | 4787551560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
052807 | GA | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
061887 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
042444 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GEORGIA ARRHYTHMIA CONSULTANTS & RESEARCH INSTITUTE | Other Name - Individual/Organization |
| Macon Electrophsiology Associates | Doing Business As Name - Organization |
| Street Address |
639 HEMLOCK STR STE 100 |
| City | MACON |
| State | GA |
| Zip Code | 31201 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 1730662750 | Twin Arrhythmia Group, LLC | Internal Medicine | 770 Pine St Ste 200, Macon, GA 31201-7513 | 2018-09-14 |
| 1548759178 | Georgia Arrhythmia Consultants and Research Institute | Internal Medicine | 639 Hemlock St Ste 100, Macon, GA 31201-6889 | 2018-05-09 |
| 1891961934 | Jonathan R Hoffman | Internal Medicine | 1062 Forsyth St, Suite 1b, Macon, GA 31201-8637 | 2008-05-07 |
| 1992889505 | Felix O Sogade | Internal Medicine | 639 Hemlock St, Suite 100, Macon, GA 31201-6886 | 2006-10-24 |
| 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 |
| 1790929859 | Edward Kojo-eyiah Koomson | Internal Medicine | 425 W 3rd Ave Ste 700, Albany, GA 31701-1969 | 2009-04-20 |
| 1407099575 | Kavita Perumal Krishnasamy | Internal Medicine | 1267 Highway 54 W Ste 4100, Fayetteville, GA 30214-2112 | 2009-04-19 |
| 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 |
| 1346604873 | Sjc Electrophysiology, LLC | Internal Medicine | 1326 Eisenhower Dr, Bldg 2, Savannah, GA 31406-3928 | 2016-04-11 |
| 1982079323 | St Francis Physician Practices LLC | Internal Medicine | 2300 Manchester Expy, Ste. 1009, Columbus, GA 31904-6877 | 2015-12-10 |
| 1770962508 | Total Cardiology of Atlanta | Internal Medicine | 2801 N Decatur Rd Ste 395, Decatur, GA 30033-5936 | 2015-05-26 |
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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.