Organization Active NPI

North Macon Family Physicians, LLC

  • Family Medicine Physician
  • Macon, GA
National Provider Identifier
1306912548
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH MACON FAMILY PHYSICIANS, LLC
Practice address
275 Sheraton Blvd
Macon, GA 31210-1359
Phone
(478) 474-7014
Fax
(478) 405-8359
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Mrs. Sharon B Hebert
Title
Business Manager
Phone
(478) 474-7014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

275 Sheraton Blvd
Macon, GA 31210-1359

Mailing address

275 Sheraton Blvd
Macon, GA 31210-1359
Phone (478) 474-7014

Other identifiers 1

IdentifierTypeStateIssuer
055003220AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1306912548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SHERATON BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101359",
            "telephone_number": "478-474-7014",
            "fax_number": "478-405-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SHERATON BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101359",
            "telephone_number": "478-474-7014",
            "fax_number": "478-405-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MACON FAMILY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "478-474-7014",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055003220A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.