VASCULAR LAB OF CENTRAL GEORGIA LLC (NPI# 1720430630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720430630 |
| Entity Type | Organization |
| Organization Name | VASCULAR LAB OF CENTRAL GEORGIA LLC |
| Practice Address |
688 Walnut St 201 Macon GA 31201-2677 |
| Practice Telephone | 4782547353 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |
| Authorized Official Name | CHRISTINE RUDD (PRACTICE MANAGER) |
| Authorized Official Telephone | 4782547353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
688 WALNUT ST 201 |
| City | MACON |
| State | GA |
| Zip Code | 31201-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861471096 | Fady S Wanna | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 688 Walnut St, Suite 102, Macon, GA 31201 | 2006-01-16 |
| 1902337637 | Premier Cardiothoracic Surgery, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 688 Walnut St, Suite 102, Macon, GA 31201-2677 | 2017-03-24 |
| 1710399217 | Melanie Wheeler | Nurse Practitioner | 688 Walnut St, Suite 200, Macon, GA 31201-2677 | 2014-06-02 |
| 1811276116 | Nancy Katherine Mclaurin | Nurse Practitioner | 688 Walnut St, Ste 200, Macon, GA 31201-2677 | 2011-08-04 |
| 1316181159 | Next Level Community Development Center, Inc. | Counselor | 688 Walnut St, 202, Macon, GA 31201-2677 | 2009-04-23 |
| 1003050840 | Carolyn Woodard | Counselor | 688 Walnut St, 202, Macon, GA 31201-2677 | 2009-04-23 |
| 1730365727 | Vascular Access Center of Georgia LLC | Radiology | 688 Walnut St, Suite 201, Macon, GA 31201-2677 | 2008-01-21 |
| 1366516338 | Cardio Thoracic Vascular & Pediatric Surgery Assoc PC | Surgery | 688 Walnut St, Suite 200, Macon, GA 31201-2677 | 2006-11-20 |
| 1578647277 | Tracy Denise Davis | Physician Assistant | 688 Walnut St, Suite 200, Macon, GA 31201-2677 | 2006-10-25 |
| 1194704338 | Laura L Reed | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 688 Walnut St, Ste 200, Macon, GA 31201-2677 | 2006-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| 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.