MACON PAIN CENTER, P.C. (NPI# 1447388574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447388574 |
| Entity Type | Organization |
| Organization Name | MACON PAIN CENTER, P.C. |
| Practice Address |
3356 Vineville Ave Macon GA 31204-2328 |
| Mailing Address |
Po Box 13483 Macon GA 31208-3483 |
| Practice Telephone | 4784769886 |
| Mailing Telephone | 4784769886 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CARLOS J GIRON (CEO) |
| Authorized Official Telephone | 4784769886 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
011231 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00707319F | 05 |
| Street Address |
3356 VINEVILLE AVE |
| City | MACON |
| State | GA |
| Zip Code | 31204-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053392068 | Carlos Jorge Giron | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-11-07 |
| 1164995171 | Meredith Fleenor | Nurse Practitioner | 3356 Vineville Ave, Macon, GA 31204-2328 | 2019-01-03 |
| 1588147060 | Spine Center Macon, LLC | Physical Medicine & Rehabilitation | 3356 Vineville Ave, Macon, GA 31204-2328 | 2018-09-11 |
| 1235385931 | Pharmalab,llc | Specialist | 3356 Vineville Ave, Macon, GA 31204-2328 | 2008-08-13 |
| 1861671935 | Andrada Physical Therapy, Inc | Clinic/Center | 3356 Vineville Ave, Ste C, Macon, GA 31204-2328 | 2007-10-25 |
| 1265560379 | Georgia Pain Institute. LLC | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2007-03-01 |
| 1033196761 | Julian M Earls Jr. | Psychiatry & Neurology | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-12-22 |
| 1306823034 | Grace Duque-dizon | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-12-22 |
| 1699756361 | Preston Chandler Delaperriere | Anesthesiology | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1467851758 | Macon Outpatient Surgery, LLC | Clinic/Center | 1610 Forysth Street, Macon, GA 31201 | 2014-08-22 |
| 1427307578 | Hemlock Ambulatory Surgery Center | Clinic/Center | 101 Preston Ct Ste 104, Macon, GA 31210-5771 | 2012-09-05 |
| 1134367642 | Preferred Medical Billing | Clinic/Center | 4039 Mickey St, Macon, GA 31206-3952 | 2009-01-22 |
| 1356497747 | Associates Surgery Center, Inc. | Clinic/Center | 864 1st St, Macon, GA 31201-6875 | 2007-01-26 |
| 1659426385 | Forsyth Street Ambulatory Surgery Center, LLC | Clinic/Center | 1610 Forsyth Street, Macon, GA 31201 | 2007-01-24 |
| 1952319378 | Surgical Centers of Ga PC | Clinic/Center | 3556 Riverside Dr, Macon, GA 31210-2509 | 2006-08-03 |
| 1386673044 | Urology Center of Georgia LLC | Clinic/Center | 1870 Hardeman Ave, Macon, GA 31201-1161 | 2006-07-02 |
| 1609872597 | Coliseum Same Day Surgery Center Lp | Clinic/Center | 340 Hospital Dr, Bldg E, Macon, GA 31217-3838 | 2005-06-24 |
| 1831746007 | Gc Surgery Center LLC | Clinic/Center | 6326 Peake Rd, Macon, GA 31210-3960 | 2019-08-22 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.