INFECTIOUS DISEASES CONSULTANTS OF SOUTHWEST GEORGIA LLC (NPI# 1366567513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366567513 |
| Entity Type | Organization |
| Organization Name | INFECTIOUS DISEASES CONSULTANTS OF SOUTHWEST GEORGIA LLC |
| Practice Address |
808 13th Ave Albany GA 31701-1328 |
| Practice Telephone | 2294361361 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MICKEY PICKLER (VP) |
| Authorized Official Telephone | 2294361361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
808 13TH AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921176 | Derek J Heard | Family Medicine | 808 13th Ave, Albany, GA 31701-1328 | 2005-09-07 |
| 1952849721 | Rebecca Revell | Nurse Practitioner | 808 13th Ave, Albany, GA 31701-1328 | 2017-02-01 |
| 1871857011 | Southwest Georgia Ob-gyn, PC | Obstetrics & Gynecology | 808 13th Ave, Albany, GA 31701-1328 | 2012-07-03 |
| 1619269552 | Phoebe Family Medical Albany | Clinic/Center | 808 13th Ave, Albany, GA 31701-1328 | 2011-05-11 |
| 1073792388 | Jonathan Paul Payne | Obstetrics & Gynecology | 808 13th Ave, Albany, GA 31701-1328 | 2007-11-02 |
| 1396890604 | Chappell A Collins Jr. | Family Medicine | 808 13th Ave, Albany, GA 31701-1328 | 2007-01-24 |
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1548559206 | Shannon L Andrews | Internal Medicine | 22 New Scotland Ave Fl 3, Albany, NY 12208-3795 | 2011-04-04 |
| 1740365162 | Arnold Louie | Internal Medicine | 150 New Scotland Ave, Albany, NY 12208-3425 | 2006-10-25 |
| 1487744116 | Anita Kiehl | Internal Medicine | 404 New Scotland Ave., Albany, NY 12208 | 2006-10-13 |
| 1104919752 | Sarah L Elmendorf | Internal Medicine | Upstate Infectious Diseases Associates, 404 New Scotland Ave, Albany, NY 12208 | 2006-10-02 |
| 1376582411 | Philip J Palmieri | Internal Medicine | 404 New Scotland Ave, Albany, NY 12208-2725 | 2006-06-05 |
| 1679827851 | Albany Medical College | Internal Medicine | 66 Hackett Blvd, Albany, NY 12209-1750 | 2012-11-09 |
| 1679738587 | Jessica Ann Kumar | Internal Medicine | 43 New Scotland Ave, Albany, NY 12208-3412 | 2008-07-21 |
| 1538354980 | Craig E. Smith, Md, PC | Internal Medicine | 1909 Aberdeen Rd, Suite 105, Albany, GA 31701-1393 | 2007-09-10 |
| 1659415693 | Kristina Mankes Roddy | Internal Medicine | 404 New Scotland Ave, Upstate Infectious Diseases Associates, Albany, NY 12208-2725 | 2007-02-15 |
| Find all providers in ALBANY | ||||
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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.