MR. EMMANUEL AMWENBA ENOGHAYIN (NPI# 1528235397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528235397 |
| Entity Type | Individual |
| Full Name | MR. EMMANUEL AMWENBA ENOGHAYIN |
| Credential | PA-C |
| Practice Address |
157 Cambridge Way Macon GA 31220-8736 |
| Practice Telephone | 4789543650 |
| Mailing Telephone | 4789543650 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2017-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 003591 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
157 CAMBRIDGE WAY |
| City | MACON |
| State | GA |
| Zip Code | 31220-8736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864979 | Kenwana Michelle Vanderbilt | Psychologist | Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA 31220 | 2013-03-05 |
| 1720287345 | Lynda Jean Logan | Registered Nurse | 5398 Thomaston Road Suite B, Macon, GA 31220 | 2007-07-13 |
| 1811085434 | Timmi Hagan | Dentist | 4196 Cavalier Dr, Macon, GA 31220 | 2006-10-10 |
| 1154375756 | Lois Jane Macdonnell | Psychiatry & Neurology | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-19 |
| 1508129438 | Venyette Thomas | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220 | 2012-06-15 |
| 1710260575 | Vijay H Patel | Pharmacist | 1280 Gray Hwy, Macon, GA 31220 | 2011-09-27 |
| 1023065638 | Dublin Vamc | Clinic/Center | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-28 |
| 1386847614 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2007-06-06 |
| 1588128581 | Samuel Scott Collier | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2019-01-24 |
| 1841652310 | Christopher Hayes | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-03-24 |
| Find all providers in zip 31220 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854348 | Monica Bruney | Physician Assistant | 101 Preston Ct Ste 103, Macon, GA 31210-5771 | 2020-06-04 |
| 1023677895 | Kathleen Forbes Matthews | Physician Assistant | 3735 Bonita Pl, Macon, GA 31204-1309 | 2019-06-06 |
| 1659773018 | Joseph T. Smoak | Physician Assistant | 4226 Hartley Bridge Road, Suite 104, Macon, GA 31216-4116 | 2014-09-17 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1801000153 | Jennifer L. Hames | Physician Assistant | 771 Orange St, Macon, GA 31201-2126 | 2007-05-09 |
| 1093847840 | Betty Jo Lynn Fancher | Physician Assistant | 3711 Eisenhower Pkwy, Macon, GA 31206-3672 | 2007-03-09 |
| 1659322105 | Christopher B Kelley | Physician Assistant | 201 Oakleaf Dr, Macon, GA 31210-1924 | 2006-05-12 |
| 1275591828 | Delano Parker | Physician Assistant | 1157 Forsyth Street, Macon, GA 31201 | 2006-05-03 |
| 1609869197 | Deborah D Moore | Physician Assistant | 1157 Forsyth St, Macon, GA 31201-7452 | 2005-08-30 |
| 1245236744 | Edward Keith Grant | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2005-06-21 |
| Find all providers in MACON | ||||
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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.