Active NPI
North Macon Family Physicians, LLC
- Family Medicine Physician
- Macon, GA
National Provider Identifier
1306912548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055003220A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI 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.