PAGEMED, LLC (NPI# 1619274180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619274180 |
| Entity Type | Organization |
| Organization Name | PAGEMED, LLC |
| Practice Address |
380 Hospital Dr Bldg Suite460 Macon GA 31217-8001 |
| Mailing Address |
550 Peachtree St Ne Suite 1275 Atlanta GA 30308-2208 |
| Practice Telephone | 4782165233 |
| Practice Fax Number | 4044197031 |
| Mailing Telephone | 4048723121 |
| Mailing Fax Number | 4048723119 |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | MS. CARRIE CULVER (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4048723121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 Peachtree St Ne, Suite 1275, Atlanta, GA 303082208 | 4048723121 | 4048723119 |
| Street Address |
380 HOSPITAL DR BLDG SUITE460 |
| City | MACON |
| State | GA |
| Zip Code | 31217-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1538768296 | Ga Diagnostic Providers | Clinic/Center | 5400 Riverside Dr Ste 202, Macon, GA 31210-0818 | 2020-10-22 |
| 1124576558 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 360 Hospital Dr, Building D, Suite 130, Macon, GA 31217-3874 | 2016-09-14 |
| 1912454869 | Focused Care of Georgia LLC | Clinic/Center | 2410 Ingleside Ave, Macon, GA 31204-2036 | 2016-09-08 |
| 1942602941 | Your Doctor's After Hours, LLC | Clinic/Center | 610 3rd St, Macon, GA 31201-3294 | 2014-09-22 |
| 1376743880 | Charles C Wells | Clinic/Center | 770 Hemlock St, Macon, GA 31201-2170 | 2007-07-23 |
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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.