Mac - Macon Road Llc - Medicare Primary Care in Columbus, GA

Mac - Macon Road Llc is a medicare enrolled primary clinic (Clinic/center) in Columbus, Georgia. The current practice location for Mac - Macon Road Llc is 3465 Macon Rd Ste D, Columbus, Georgia. For appointments, you can reach them via phone at (706) 243-3051. The mailing address for Mac - Macon Road Llc is Po Box 84052, Columbus, Georgia and phone number is (706) 243-0626.

Mac - Macon Road Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053599043. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (706) 243-3051.

Contact Information

Mac - Macon Road Llc
3465 Macon Rd Ste D
Columbus
GA 31907-2582
(706) 243-3051
Not Available

Primary Care Clinic Profile

Full NameMac - Macon Road Llc
SpecialityClinic/Center
Location3465 Macon Rd Ste D, Columbus, Georgia
Authorized Official Name and PositionRobert O'neil Snoddy (MEDICAL DIRECTOR)
Authorized Official Contact7062433051
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mac - Macon Road Llc
Po Box 84052
Columbus
GA 31908-4052

Ph: (706) 243-0626
Mac - Macon Road Llc
3465 Macon Rd Ste D
Columbus
GA 31907-2582

Ph: (706) 243-3051

NPI Details:

NPI Number1053599043
Provider Enumeration Date02/01/2008
Last Update Date10/07/2008

Medicare PECOS Information:

Medicare PECOS PAC ID5799860151
Medicare Enrollment IDO20080310000158

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Medical Identifiers

Medical identifiers for Mac - Macon Road Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053599043NPI-NPPES
934157678AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mac - Macon Road Llc acts as a billing entity for following providers:
Provider NameJames P Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598752560
PECOS PAC ID: 7416844410
Enrollment ID: I20040303000967

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Provider NameLisa M Plock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528056660
PECOS PAC ID: 8224094545
Enrollment ID: I20041208000077

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Provider NameJohn S Womble
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750379863
PECOS PAC ID: 2466418785
Enrollment ID: I20041208000125

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Provider NameEunice A Ampiaw
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962499137
PECOS PAC ID: 1052496411
Enrollment ID: I20080905000483

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Provider NameSuzanne M Mcbride
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881682144
PECOS PAC ID: 1153350277
Enrollment ID: I20090107000307

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Provider NameAngie Renee Smith-haque
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124102405
PECOS PAC ID: 5092863282
Enrollment ID: I20090427000552

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Provider NameKamlesh G Ansingkar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184787327
PECOS PAC ID: 6608979554
Enrollment ID: I20100708000071

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Provider NameBrandilyn K Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578878658
PECOS PAC ID: 8022294107
Enrollment ID: I20130808000572

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Clinic/Center in Columbus, GA

Family Wellcare Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4215 Woodruff Rd, Columbus, GA 31904
Phone: 706-653-6080    Fax: 706-653-6052
One On One Staffing &wellness Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1315 Delauney Ave Ste 201-a, Columbus, GA 31901
Phone: 334-655-0315    
Gabiana Medical Offices
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 700 Center St, 201 Professional Tower, Columbus, GA 31901
Phone: 706-323-4747    Fax: 706-660-0676
Columbus Primary Care Internal Medicine Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1041 Talbotton Rd, Columbus, GA 31904
Phone: 706-660-8825    Fax: 706-660-8897
Unitehere Union Health & Wellness Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1110 Farr Rd Ste C, Columbus, GA 31907
Phone: 706-683-0909    Fax: 706-683-9757
Novela Health Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6901 Ray Wright Way Ste D, Columbus, GA 31909
Phone: 404-543-9924    

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