MIDDLE GEORGIA PULMONARY, LLC


Address: 2024 Watson Blvd, Bldg# 1, Warner Robins, GA 31093-3624
Phone: 4784495030

MIDDLE GEORGIA PULMONARY, LLC (NPI# 1912327263) 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) 1912327263
Entity Type Organization
Organization Name MIDDLE GEORGIA PULMONARY, LLC
Practice Address 2024 Watson Blvd
Bldg# 1
Warner Robins
GA 31093-3624
Practice Telephone 4784495030
Practice Fax Number 4782931559
Mailing Telephone 4046001215
Mailing Fax Number 4782931559
Enumeration Date 2014-04-24
Last Update Date 2019-06-10
Authorized Official Name MAYA HOSEIN (OWNER/PHYSICIAN)
Authorized Official Telephone 3177483685
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
063470 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 869760044A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
512 S Houston Lake Rd, Warner Robins, GA 310886308 4782542644 4782544924

Office Location

Street Address 2024 WATSON BLVD
BLDG# 1
City WARNER ROBINS
State GA
Zip Code 31093-3624

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629618806 Christina Renee Kopsick Nurse Practitioner 2024 Watson Blvd, Warner Robins, GA 31088 2020-01-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922654102 Hui Bostian Technician 402 Pinecrest Dr., Warner Robins, GA 31093 2019-08-14
1457914616 Janvi Hemantkumar Wadiwala Student in an Organized Health Care Education/Training Program 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 2019-04-15
1477033124 Urological Health Center, PC Urology 1770 Watson Boulevard, Warner Robins, GA 31093 2018-08-21
1477043719 Revealing Strength Counseling, LLC Counselor 2762 Watson Blvd, Warner Robins, GA 31093 2018-05-11
1265930069 Alma J Ellington Counselor 306 North Davis Drive, Suite B Room 4, Warner Robins, GA 31093 2018-01-26
1841707668 Guiding Light Healthcare Services Family Medicine 306 N. Davis Dr., Suite B, Warner Robins, GA 31093 2018-01-02
1083143416 Rosa C Gilbert Counselor 303 Mimosa, Warner Robins, GA 31093 2017-06-08
1982141545 Ariel Young Psychologist 104 Stanton Circle, Warner Robins, GA 31093 2017-01-20
1801259437 Gramps 'n' Grannies, Inc. Assisted Living Facility 502 North Huston Rd., Warner Robins, GA 31093 2016-03-31
1710346903 Brenda Marie Warren Marriage & Family Therapist 106-b Olympia Dr., Warner Robins, GA 31093 2016-02-16
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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
1336307586 Maya Hosein Internal Medicine 512 S Houston Lake Rd, Warner Robins, GA 31088-6308 2008-05-23
1598273377 Kaleigh S De La Cruz Internal Medicine 105 Briarcliff Rd, Warner Robins, GA 31088-4039 2018-01-16
1063803138 Houston Lung Clinic LLC Internal Medicine 92 Tommy Stalnaker Dr, Warner Robins, GA 31088-9179 2015-02-11
1841202876 Jeffrey Rymuza, Md PC Internal Medicine 1554 Watson Blvd, Warner Robins, GA 31093-3432 2006-08-11
1659313153 Central Georgia Heart Institue, LLC Internal Medicine 1707 Watson Blvd, Suite 200, Warner Robins, GA 31093-3606 2006-06-11
1467492785 Charles S Edenfield Internal Medicine 623 S Houston Lake Rd, Suite 200, Warner Robins, GA 31088-9093 2006-06-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194337592 Stefan Vincent Goldberg Internal Medicine 3239 Bolero Dr, Atlanta, GA 30341-5705 2020-08-18
1366064164 Southeast Lung & Critical Care Specialists Internal Medicine 1745 City Circle Rd, Baxley, GA 31513-7059 2020-05-14
1205474954 Tift Regional Health System, Inc Internal Medicine 1499 Kennedy Road, Suite A, Tifton, GA 31794-4177 2019-12-12
1659845790 Frank J Demarco Jr Md LLC Internal Medicine 4465 Nelson Brogdon Blvd, Buford, GA 30518-3487 2019-01-11
1063915338 Trident Pulmonary and Critical Care PC Internal Medicine 483 Upper Riverdale Rd Sw Ste E, Riverdale, GA 30274-2579 2018-03-13
1194235853 Covenant Medical Group LLC Internal Medicine 3605 Sandy Plains Rd Ste 240-235, Marietta, GA 30066-3068 2017-10-09
1235659814 Southeast Lung & Criticial Care Specialists, PC Internal Medicine 5356 Reynolds St Ste 303, Savannah, GA 31405-6018 2017-06-23
1619355427 Southeast Lung & Critical Care Specialists, PC. Internal Medicine 400 Cedar St Ste 106, Candler County Hospital, Metter, GA 30439-3338 2015-05-13
1770989154 Southeast Lung & Critical Care Specialists, PC Internal Medicine 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 2014-11-12
1407267511 Akshay Bhatnagar Internal Medicine 2301 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2576 2014-05-12
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Competitor

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City WARNER ROBINS
Zip Code 31093

Improve Information

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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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