Middle Georgia Life Care Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MIDDLE GEORGIA LIFE CARE INC.

Practice address

400 Foster Road
Macon, GA 31210

Phone

(478) 474-0025

Fax

(478) 474-0392

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Neil L Pruitt Jr.

Title

Manager

Phone

(770) 279-6200

Specialties & licenses 1

Addresses

Other names 1

• Presbyterian Village Doing business as

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306060439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E DOYLE STREET",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "30577",
            "telephone_number": "706-886-8493",
            "fax_number": "706-886-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FOSTER ROAD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-474-0025",
            "fax_number": "478-474-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA LIFE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-279-6200",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presbyterian Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Middle Georgia Emergency Group, LLC
• Middle Georgia Gastroenterology
• Middle Georgia Heart and Vascular Center, LLC
• Middle Georgia Heart Rhythm Specialists, LLC
• Middle Georgia Internal Medicine & Kidney Diseases
• Middle Georgia Pediatrics
• Middle Georgia Pediatrics
• Middle Georgia Regional Commission
• Middle Georgia Sleep & Wellness Center LLC
• Middle Georgia Wound Solutions LLC

• Skilled Nursing Facility in Macon, GA
• Providers in Macon, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.