Middle Georgia Center for Independent Living, Inc.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

MIDDLE GEORGIA CENTER FOR INDEPENDENT LIVING, INC.

Practice address

3695 Broadway
Macon, GA 31206-1641

Phone

(478) 741-1425

Fax

(478) 755-1571

NPI assigned

Oct 17, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Leverett

Title

Ceo/Cfo

Phone

(478) 741-1425

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1285501064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 BROADWAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312061641",
            "telephone_number": "478-741-1425",
            "fax_number": "478-755-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 BROADWAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312061641",
            "telephone_number": "478-741-1425",
            "fax_number": "478-755-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA CENTER FOR INDEPENDENT LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "LEVERETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "478-741-1425"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Macon, GA
• Providers in Macon, GA by specialty
• Peer Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.