CENTRAL GEORGIA INTERNIST
NPI 1114034758
Specialist in Macon, GA

Active since August 23, 2006
657 HEMLOCK ST, STE 220, MACON, GA 31201(478) 741-7241 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About CENTRAL GEORGIA INTERNIST

This page provides the complete NPI Profile along with additional information for Central Georgia Internist, a provider established in Macon, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1114034758 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Central Georgia Internist operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mufid A Othman M.d. (President)

NPI
1114034758 Verify this NPI
Provider Name
CENTRAL GEORGIA INTERNIST
Entity Type
Organization
Location Address
657 HEMLOCK ST STE 220 MACON, GA 31201
Location Phone
(478) 741-7241
Mailing Address
657 HEMLOCK ST STE 220 MACON, GA 31201
Mailing Phone
(478) 741-7241
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MUFID A OTHMAN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(478) 741-7241

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Nurse Practitioner
657 HEMLOCK ST, SUITE 220
MACON, GA 31201
Dietitian, Registered
657 HEMLOCK ST, SUITE 100
MACON, GA 31201
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
657 HEMLOCK ST, SUITE 100
MACON, GA 31201
Internal Medicine
657 HEMLOCK ST, SUITE 220
MACON, GA 31201
Internal Medicine (Nephrology)
657 HEMLOCK ST, SUITE 200
MACON, GA 31201
Nurse Practitioner (Family)
657 HEMLOCK ST, SUITE 220
MACON, GA 31201
Specialist
657 HEMLOCK ST, STE 220
MACON, GA 31201
Hospitalist
657 HEMLOCK ST, STE 220
MACON, GA 31201
Nurse Practitioner (Family)
657 HEMLOCK ST
MACON, GA 31201
Nurse Practitioner (Gerontology)
657 HEMLOCK ST
MACON, GA 31201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114034758, enumerated as an "organization" on August 23, 2006.

The provider is located at 657 HEMLOCK ST STE 220 MACON, GA 31201 and the phone number is (478) 741-7241.

Specialist with taxonomy code 174400000X.