| Cogent Healthcare Of Macon, Llc | |
|
777 Hemlock St Macon GA 31201-2102 | |
| (478) 633-7550 | |
| (478) 633-3235 |
| Full Name | Cogent Healthcare Of Macon, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 777 Hemlock St, Macon, Georgia |
| Authorized Official Name and Position | Melissa Simonton Land (MANAGER) |
| Authorized Official Contact | 4784751299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogent Healthcare Of Macon, Llc Po Box 26040 Macon GA 31221-6040 Ph: (478) 475-1299 | Cogent Healthcare Of Macon, Llc 777 Hemlock St Macon GA 31201-2102 Ph: (478) 633-7550 |
| NPI Number | 1073564217 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 12/19/2016 |
| Medicare PECOS PAC ID | 9234104019 |
|---|---|
| Medicare Enrollment ID | O20040826000927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073564217 | NPI | - | NPPES |
| 260348606A | Medicaid | GA |
| Provider Name | Robert S Tuck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316025307 PECOS PAC ID: 3476445131 Enrollment ID: I20040831000610 |
| Provider Name | Charles C Snow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891873840 PECOS PAC ID: 5496720567 Enrollment ID: I20040901000149 |
| Provider Name | Edward H Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356494595 PECOS PAC ID: 3476440769 Enrollment ID: I20040907000220 |
| Provider Name | Jeffery I Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447242367 PECOS PAC ID: 0244288553 Enrollment ID: I20050104000250 |
| Provider Name | Vijaya L Gudapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578578340 PECOS PAC ID: 1759344534 Enrollment ID: I20060901000002 |
| Provider Name | Mohammed D Ajjan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518913003 PECOS PAC ID: 2668557810 Enrollment ID: I20080312000061 |
| Provider Name | Katherine Walker Hatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477708956 PECOS PAC ID: 8022171339 Enrollment ID: I20090113000651 |
| Provider Name | Nje S Mark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508043829 PECOS PAC ID: 8729126461 Enrollment ID: I20091117000452 |
| Provider Name | Ashraf I Sedfawy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972761153 PECOS PAC ID: 2769521434 Enrollment ID: I20091209000588 |
| Provider Name | Gerald K Brantley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639123920 PECOS PAC ID: 9335034990 Enrollment ID: I20100111000550 |
| Provider Name | Christian K Aidoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013236165 PECOS PAC ID: 2365624129 Enrollment ID: I20110321000207 |
| Provider Name | Sivasankara Kosaraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558335919 PECOS PAC ID: 2567490311 Enrollment ID: I20110708000560 |
| Provider Name | Jose F Lizcano-perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649427592 PECOS PAC ID: 9032389663 Enrollment ID: I20110908002144 |
| Provider Name | Kurdistan A Gargis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518197755 PECOS PAC ID: 8729259353 Enrollment ID: I20110913000129 |
| Provider Name | Aisha Y Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083845572 PECOS PAC ID: 1850548207 Enrollment ID: I20120821000066 |
| Provider Name | Anjan R Kalvakuntla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922310747 PECOS PAC ID: 1456592070 Enrollment ID: I20130724000713 |
| Provider Name | Tabi Tabe-ebob |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104098995 PECOS PAC ID: 1850584889 Enrollment ID: I20131118001362 |
| Provider Name | Venkata Satya Rongala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174817316 PECOS PAC ID: 3274751466 Enrollment ID: I20140829002068 |
| Provider Name | Alketah R Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316234958 PECOS PAC ID: 2264653625 Enrollment ID: I20141028001848 |
| Provider Name | Dwayne A Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578841300 PECOS PAC ID: 8921312158 Enrollment ID: I20150801017382 |
| Provider Name | Virginia Fredericka Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023211489 PECOS PAC ID: 3870669740 Enrollment ID: I20150804003892 |
| Provider Name | Edva Noel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528313202 PECOS PAC ID: 6406162213 Enrollment ID: I20150824002639 |
| Provider Name | Shane Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083086136 PECOS PAC ID: 3173833811 Enrollment ID: I20151109000203 |
| Provider Name | Mytri Pokal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811250962 PECOS PAC ID: 0547483893 Enrollment ID: I20151118002375 |
| Provider Name | Eltirmizy S Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598106916 PECOS PAC ID: 7618107822 Enrollment ID: I20160921002063 |
| Provider Name | Kristopher K Mcjenkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255779351 PECOS PAC ID: 7810299906 Enrollment ID: I20161108002237 |
| Provider Name | Raj A Vishnagara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346687852 PECOS PAC ID: 1951609171 Enrollment ID: I20170222000996 |
| Provider Name | Vikram Sangani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821438995 PECOS PAC ID: 1052695673 Enrollment ID: I20170228000226 |
| Provider Name | Swathi Gopishetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811316052 PECOS PAC ID: 7012215965 Enrollment ID: I20170605000778 |
| Provider Name | Sandesh Murali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386922771 PECOS PAC ID: 7810200706 Enrollment ID: I20170811003117 |
| Provider Name | Olaolu O Soleye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548674815 PECOS PAC ID: 9638441124 Enrollment ID: I20170817002961 |
| Provider Name | Luke Thomas Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790196566 PECOS PAC ID: 0143522128 Enrollment ID: I20170905001777 |
| Provider Name | My Tien Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659798122 PECOS PAC ID: 3173822582 Enrollment ID: I20171009000715 |
| Provider Name | Mubasher Abbas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578978425 PECOS PAC ID: 5799050225 Enrollment ID: I20171009001760 |
| Provider Name | Cynthia Chizoba Okoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801281563 PECOS PAC ID: 9133448525 Enrollment ID: I20180906002026 |
| Provider Name | Manvin Kaur Gendeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982072302 PECOS PAC ID: 5294037230 Enrollment ID: I20180911003822 |
| Provider Name | Robert Youngblood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447710207 PECOS PAC ID: 7517209158 Enrollment ID: I20190430001841 |
| Provider Name | Cassondra D Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730651456 PECOS PAC ID: 8325380561 Enrollment ID: I20190508002056 |
| Provider Name | Hedayah Scoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962866392 PECOS PAC ID: 2062706286 Enrollment ID: I20190529002534 |
| Provider Name | Michael Oriakhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366894701 PECOS PAC ID: 7113250036 Enrollment ID: I20190610000091 |
| Provider Name | Radhika Reddy Gadesam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427285006 PECOS PAC ID: 3870749021 Enrollment ID: I20190908000016 |
| Provider Name | Onyeka P Ojinna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639553621 PECOS PAC ID: 4688910748 Enrollment ID: I20190920002195 |
| Provider Name | Richard Self |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649724832 PECOS PAC ID: 2163719121 Enrollment ID: I20190925002707 |
| Provider Name | Shaikhoon Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922474246 PECOS PAC ID: 2860828464 Enrollment ID: I20200129003177 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124548946 PECOS PAC ID: 8628339579 Enrollment ID: I20200408004510 |
| Provider Name | Brainerd Ese Ewarien |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881089936 PECOS PAC ID: 6103172788 Enrollment ID: I20200515001716 |
| Provider Name | Altin Gjymishka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982138590 PECOS PAC ID: 1355605072 Enrollment ID: I20200608000037 |
| Provider Name | Diamond Jude |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376075705 PECOS PAC ID: 5597187104 Enrollment ID: I20200626000443 |
| Provider Name | Ravinder R Valadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255770368 PECOS PAC ID: 4486877404 Enrollment ID: I20200824001926 |
| Provider Name | Cynthia S Guevara-rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952936221 PECOS PAC ID: 4385050780 Enrollment ID: I20210310000481 |
| Provider Name | Fnu Praveen Praveen Balasubramanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588140297 PECOS PAC ID: 5698028116 Enrollment ID: I20210410000003 |
| Provider Name | Sebastian Montgomery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023506854 PECOS PAC ID: 6901146554 Enrollment ID: I20210714003587 |
| Provider Name | Joshua Nicholas Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528555125 PECOS PAC ID: 6204189269 Enrollment ID: I20211109000018 |
| Provider Name | Kenneth Burk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780064725 PECOS PAC ID: 4082963129 Enrollment ID: I20211111001702 |
| Provider Name | Rachel Michelle Applegate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013579846 PECOS PAC ID: 0143610022 Enrollment ID: I20211208002052 |
| Provider Name | Natasha N Shinholster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295493880 PECOS PAC ID: 1557754835 Enrollment ID: I20220209000992 |
| Provider Name | Vidya Baleguli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821550039 PECOS PAC ID: 5597091595 Enrollment ID: I20220329001885 |
| Provider Name | Sunny Dilipkumar Dattani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356804041 PECOS PAC ID: 4688902992 Enrollment ID: I20220415000012 |
| Provider Name | Demetrice Lyles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255891446 PECOS PAC ID: 8325426802 Enrollment ID: I20220613001349 |
| Provider Name | Lino Daniel Saavedra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639631575 PECOS PAC ID: 4587047071 Enrollment ID: I20220816002674 |
| Provider Name | Elizabeth Omeche Adejo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558928572 PECOS PAC ID: 8224412366 Enrollment ID: I20220908002236 |
| Provider Name | Yaw Otchere-boateng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881668937 PECOS PAC ID: 7911920236 Enrollment ID: I20220916001530 |
| Provider Name | Janvi H Wadiwala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457914616 PECOS PAC ID: 9739415225 Enrollment ID: I20220919000384 |
| Provider Name | Heather Mclendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255974341 PECOS PAC ID: 8921474255 Enrollment ID: I20221011003027 |
| Provider Name | Anh Hoang Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134581762 PECOS PAC ID: 3375838402 Enrollment ID: I20230105000353 |
| Provider Name | Nathan Anisko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972130128 PECOS PAC ID: 3971921396 Enrollment ID: I20230420002103 |
| Provider Name | Dione Duc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063049211 PECOS PAC ID: 8527486844 Enrollment ID: I20230425001259 |
| Provider Name | Roshawn Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134758972 PECOS PAC ID: 2961867098 Enrollment ID: I20230425002032 |
| Provider Name | Anna Grace Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114625456 PECOS PAC ID: 4789043944 Enrollment ID: I20230706000933 |
| Provider Name | Davey Ann Ho Sang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184280422 PECOS PAC ID: 6800279472 Enrollment ID: I20230710001373 |
| Provider Name | Abdul Majeed Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598385387 PECOS PAC ID: 5294158887 Enrollment ID: I20230728002970 |
| Provider Name | Robert Scott Stinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154970077 PECOS PAC ID: 1052736212 Enrollment ID: I20230830001589 |
| Provider Name | Justin Nicholas Kimsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164059788 PECOS PAC ID: 6002238458 Enrollment ID: I20230907001505 |
| Provider Name | Courtney Michelle Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306621388 PECOS PAC ID: 5193189777 Enrollment ID: I20230914003758 |
| Provider Name | Chibuzo F Agbakwuru-onyike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538747688 PECOS PAC ID: 9335520279 Enrollment ID: I20240516002418 |
| Provider Name | Olufunke M Adebayo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821625351 PECOS PAC ID: 4082032958 Enrollment ID: I20240702001287 |
| Provider Name | Corey Denise Boggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235718925 PECOS PAC ID: 0941744502 Enrollment ID: I20240708000489 |
| Provider Name | Derek L Darby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518548866 PECOS PAC ID: 0042758773 Enrollment ID: I20240813002803 |
| Provider Name | Shivam Vinu Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528645629 PECOS PAC ID: 2163960733 Enrollment ID: I20240814000368 |
| Provider Name | Jennifer Bo Ling Yu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841877917 PECOS PAC ID: 9133523715 Enrollment ID: I20240819001150 |
| Provider Name | Abla Kafui Sogbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023696879 PECOS PAC ID: 6709280605 Enrollment ID: I20240924002675 |
| Provider Name | Clayton Seigel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023634409 PECOS PAC ID: 5395149397 Enrollment ID: I20240925001557 |
| Provider Name | Angel Benedict |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790363802 PECOS PAC ID: 8325449473 Enrollment ID: I20241028000838 |
| Provider Name | Sarah Rebekah Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073347936 PECOS PAC ID: 4880120310 Enrollment ID: I20241209000277 |
| Provider Name | Nawaf Al Hashemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811414626 PECOS PAC ID: 9032454608 Enrollment ID: I20250128003852 |
| Provider Name | Ans Ahmad Jajja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659014801 PECOS PAC ID: 4981126786 Enrollment ID: I20250321001143 |
Harvey Jones Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 | |
First Choice Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Emery Hwy, Macon, GA 31217 Phone: 478-787-4266 | |
Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 | |
Metabolic Health Of Lawrenceville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2040 Bowman Park Ste D, Macon, GA 31210 Phone: 678-431-1119 | |
New Chance Centers Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2733 Sheraton Dr Ste 110, Macon, GA 31204 Phone: 478-202-7273 Fax: 478-239-0094 | |
Coliseum Health Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Charter Blvd, Suite 304, Macon, GA 31210 Phone: 478-405-0280 | |
Atlantic Hospitalist Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 1st St, Macon, GA 31201 Phone: 478-744-9603 Fax: 478-744-9552 |