MACON HEALTHCARE LLC (NPI# 1659679009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659679009 |
Entity Type | Organization |
Organization Name | MACON HEALTHCARE LLC |
Practice Address |
380 Hospital Dr Suite 125 Macon GA 31217-8001 |
Practice Telephone | 4787468801 |
Practice Fax Number | 7487468801 |
Mailing Telephone | 4787468801 |
Mailing Fax Number | 7487468801 |
Enumeration Date | 2011-03-09 |
Last Update Date | 2011-03-09 |
Authorized Official Name | MICKEY PICKLER (VP) |
Authorized Official Telephone | 4787468801 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
Street Address |
380 HOSPITAL DR SUITE 125 |
City | MACON |
State | GA |
Zip Code | 31217-8001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841286978 | Harvey Burton Roddenberry | Obstetrics & Gynecology | 380 Hospital Dr, Suite 100, Macon, GA 31217-8001 | 2005-09-23 |
1225664378 | Mattie Larae Erby | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr, Building A, Suite 430, Macon, GA 31217 | 2020-03-20 |
1386209815 | Adelina Roxana Buganu | Emergency Medicine | 380 Hospital Dr, Macon, GA 31217-8001 | 2019-05-09 |
1396278933 | Brandon Kirshner | Internal Medicine | 380 Hospital Dr, Suite 380, Macon, GA 31217-8001 | 2017-04-11 |
1033643572 | Nicholas Monaco | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr, Suite 430, Macon, GA 31217-8001 | 2017-04-11 |
1013440957 | Ruth Osondu | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr, Stuite 430 Coliseum Medical Centers, Macon, GA 31217-8017 | 2017-04-07 |
1528591443 | Tamie Wells | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr, Suite 430, Macon, GA 31217-8001 | 2017-04-07 |
1205369253 | Ivania Trinidad Irby | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr, Bldg A, Ste 430, Macon, GA 31217-8001 | 2017-04-06 |
1679005730 | Anum Amir Niazi | Internal Medicine | 380 Hospital Dr, Suite 430, Macon, GA 31217-8001 | 2017-03-29 |
1497286900 | Muhammad Uneib | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr, Suite 430, Macon, GA 31217-8001 | 2017-03-26 |
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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 |
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Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245620244 | Darla R Totten Md | Psychiatry & Neurology | 3780 Northside Dr, 197, Macon, GA 31210-2431 | 2015-01-28 |
1326396490 | William Patrick Roche Iv | Psychiatry & Neurology | 389 Mulberry St Ste 200, Macon, GA 31201 | 2012-08-21 |
1649455189 | Sleepmed Inc | Psychiatry & Neurology | 435 Second St, Suite 430, Macon, GA 31201-2624 | 2008-01-03 |
1730294125 | Sudhir S Athni | Psychiatry & Neurology | 175 Water Tower Ct, Macon, GA 31210-4874 | 2006-08-19 |
1083679948 | Anthony Quan Hong | Psychiatry & Neurology | 389 Mulberry St, Suite 200, Macon, GA 31201-7914 | 2006-04-20 |
1740663319 | Nzinga Liza Robertson | Psychiatry & Neurology | 777 Hemlock St, Macon, GA 31201-2102 | 2015-07-01 |
1023441656 | Sleep Practitioners, LLC | Psychiatry & Neurology | 275 Sheraton Blvd Ste 100, Macon, GA 31210-1359 | 2013-08-19 |
1639206386 | Neurology Associates LLP | Psychiatry & Neurology | 389 Mulberry St, Suite 200, Macon, GA 31201-7914 | 2007-02-28 |
1669582649 | Michael H. Rivner | Psychiatry & Neurology | 3351 Northside Dr, Macon, GA 31210-2587 | 2006-08-30 |
1053332841 | Charles Chesley Wells | Psychiatry & Neurology | 435 2nd St, 430, Macon, GA 31201-8298 | 2006-07-21 |
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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.