| Dr Jacqueline Akua Owusu, MD | |
| 
					2022 10th Ave Ste B, Columbus, GA 31901-3720  | |
| (706) 507-9407 | |
| (706) 507-9408 | 
| Full Name | Dr Jacqueline Akua Owusu | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 2022 10th Ave Ste B, Columbus, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023182748 | NPI | - | NPPES | 
| 280803795J | Medicaid | GA | |
| GRP4787 | Other | GA | MEDICARE PTAN HOSPITALIST OF DUBLIN | 
| 055870 | Other | GA | GA STATE LICENSE | 
| 05390548 | Other | GA | AMERIGROUP | 
| 11674408 | Other | GA | CAQH | 
| 280803795A | Medicaid | GA | |
| 1539774 | Other | GA | WELLCARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 055870 (Georgia) | Secondary | 
| 208M00000X | Hospitalist | 055870 (Georgia) | Secondary | 
| 207R00000X | Internal Medicine | 055870 (Georgia) | Primary | 
| Entity Name | Apogee Medical Group Georgia | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629025143 PECOS PAC ID: 4587676945 Enrollment ID: O20060629000214  | 
| Entity Name | Dr. Owusu Professional Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376137844 PECOS PAC ID: 5092250134 Enrollment ID: O20240712001246  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jacqueline Akua Owusu, MD 5035 Hawks Ridge Dr, Columbus, GA 31904-2043 Ph: (917) 319-5411  | Dr Jacqueline Akua Owusu, MD 2022 10th Ave Ste B, Columbus, GA 31901-3720 Ph: (706) 507-9407  | 
Arnold Nongmoh Forlemu, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-324-6365  | |
Andrew Norbert Vernon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-320-2773 Fax: 706-596-4226  | |
Dr. Christopher Morgan Lee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Center St, Suite 204, Columbus, GA 31901 Phone: 706-596-1314 Fax: 706-596-9225  | |
Dr. James Lacey Smith, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1207 Marina Cove Dr, Columbus, GA 31904 Phone: 901-412-1881  | |
Srividya Srinivasamaharaj, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1831 5th Ave, Columbus, GA 31904 Phone: 706-320-8780 Fax: 706-320-8721  | |
Dr. Mylena E Morton, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1262 Fax: 706-660-6512  | |
Da Monica Alethea Cannon, NP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2737 Warm Springs Rd Ste C, Columbus, GA 31904 Phone: 706-571-1136  |