NPIMap

Organization Active NPI

Macon County Medical Center

  • Adult Day Care Clinic/Center
  • Reynolds, GA
National Provider Identifier
1336373208
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MACON COUNTY MEDICAL CENTER
Practice address
11 North Winston Street
Reynolds, GA 31076
Phone
(478) 472-3246
Fax
(478) 472-2412
NPI assigned
May 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Mrs. Laurie A Hair
Title
Ceo
Phone
(478) 472-3246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

11 North Winston Street
Reynolds, GA 31076

Mailing address

509 Sumter St
Montezuma, GA 31063-1733
Phone (478) 472-3246

Other names 1

  • FLINT RIVER CLINIC AT REYNOLDS Other name

National Provider Directory

National Provider Directory
Tax ID family
Flint River Clinic at Reynolds4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11 N Winston St
Reynolds, GA 31076
Phone (478) 472-3246

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1336373208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SUMTER ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631733",
            "telephone_number": "478-472-3246",
            "fax_number": "478-472-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NORTH WINSTON STREET",
            "city": "REYNOLDS",
            "state": "GA",
            "postal_code": "31076",
            "telephone_number": "478-472-3246",
            "fax_number": "478-472-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "HAIR",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-472-3246",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLINT RIVER CLINIC AT REYNOLDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reynolds, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.