Emmanuel Ndaya Ozimba, MD | |
125 Mcdonald Ave, Cuthbert, GA 39840-5829 | |
(229) 732-3721 | |
(229) 732-6528 |
Full Name | Emmanuel Ndaya Ozimba |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 125 Mcdonald Ave, Cuthbert, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245233832 | NPI | - | NPPES |
00743586L | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 042910 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Martin Hospice | Dadeville, AL | Hospice |
Chattahoochee Hospice Inc | Valley, AL | Hospice |
Compassus-gadsden | Southside, AL | Hospice |
Lake Martin Community Hospital | Dadeville, AL | Hospital |
Community Hospital Inc | Tallassee, AL | Hospital |
Lafayette Nursing Home | Lafayette, AL | Nursing home |
Tallassee Health And Rehabilitation, Llc | Tallassee, AL | Nursing home |
Dadeville Healthcare Center | Dadeville, AL | Nursing home |
Lafayette Extended Care | Lafayette, AL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivy Creek Family Care Of Lake Martin | 6103281977 | 9 |
Ivy Creek Of Tallapoosa Llc | 8123938719 | 10 |
Ivy Creek Of Elmore Llc | 8426075508 | 20 |
Entity Name | Ivy Creek Of Tallapoosa Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932130002 PECOS PAC ID: 8123938719 Enrollment ID: O20031229000288 |
Entity Name | Ivy Creek Of Elmore Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558868323 PECOS PAC ID: 8426075508 Enrollment ID: O20051027001031 |
Entity Name | Nes Tennessee, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328 |
Entity Name | Ivy Creek Family Care Of Lake Martin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609572890 PECOS PAC ID: 6103281977 Enrollment ID: O20230501000230 |
Mailing Address | Practice Location Address |
---|---|
Emmanuel Ndaya Ozimba, MD 125 Mcdonald Ave, Cuthbert, GA 39840-5829 Ph: (229) 732-3721 | Emmanuel Ndaya Ozimba, MD 125 Mcdonald Ave, Cuthbert, GA 39840-5829 Ph: (229) 732-3721 |
Abdollatif Saleh Ghiathi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Mcdonald Ave, Cuthbert, GA 39840 Phone: 229-732-3721 Fax: 229-732-6536 |