OrganizationActive
Southwest Medical Clinic,inc.
NPI 1124096334 · Internal Medicine Physician · Greenville, GA
Provider details
- NPI number
- 1124096334
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Obinna Ubani-Ebere, Executive Director/Manager(706) 672-4818
- License
- 042618 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7007 Williams Street
Suite C, Box 1120
Greenville, GA 30222
Phone: (706) 672-4818
Fax: (706) 672-4818
Approximate (ZIP-level) locationGet directions
Mailing address
7007 Williams Street
Greenville, GA 30222
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.