Macon Eye Surgery Center, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

MACON EYE SURGERY CENTER, LLC

Practice address

864 1St St
Macon, GA 31201-6875

Phone

(478) 259-2481

Fax

(478) 812-4028

NPI assigned

Jan 26, 2007

Last updated

Feb 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alisha Stone

Title

Credentialing Specialist

Phone

(478) 551-4642

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356497747. Details of each certification follow.

• CCN 11C0001305 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 11C0001305

Legal name

Macon Eye Surgery Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 2, 2007

Last certification

Jan 31, 2019

Ownership / control type

Proprietary

Most recent change of ownership

Sep 9, 2024

Facility address

864 First Street
Macon, GA 31201

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy J Ducey, M.D.

  • Ophthalmology Physician
  • Warner Robins, GA
  • NPI 1780023960
  Medicare reassignment NPD
• Felicia Fountain, M.D.

  • Ophthalmology Physician
  • Dublin, GA
  • NPI 1770894867
  Medicare reassignment NPD
• Johnny L Gayton, M.D.

  • Ophthalmology Physician
  • Warner Robins, GA
  • NPI 1144224627
  Medicare reassignment NPD
• Jackie H Johnson Jr., MD

  • Ophthalmology Physician
  • Warner Robins, GA
  • NPI 1679707541
  Medicare reassignment NPD
• Jenna May Kim, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Suwanee, GA
  • NPI 1184037129

  Ophthalmology

  Medicare reassignment NPD
• Juan Javier Servat, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Suwanee, GA
  • NPI 1255530762

  Ophthalmology

  Medicare reassignment NPD
• Joseph Gregory Jones, MD

  • Ophthalmology Physician
  • Macon, GA
  • NPI 1417933979
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1356497747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6908",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310956908",
            "telephone_number": "478-551-4642",
            "fax_number": "478-929-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016875",
            "telephone_number": "478-259-2481",
            "fax_number": "478-812-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON EYE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "478-551-4642"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Mackey, NP
• Macon Cardiovascular Institute
• Macon Dentist Office, PC (Macon Dentist Office)
• Macon Eastside Dialysis Center LLC
• Macon Electrophysiology Associates
• Macon Family Health Center Inc
• Macon Ga Orthodontics
• Macon Gastroenterology Anesthesia Associates LLC
• Macon GYN OB Associates II, LLC
• Macon GYN/OB Associates

• Ophthalmologic Surgery Clinic/Center in Macon, GA
• Providers in Macon, GA by specialty
• Ophthalmologic Surgery Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.