Organization Active NPI

Premier Medical Access of Georgia

  • Primary Care Nurse Practitioner
  • Macon, GA
National Provider Identifier
1427848738
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PREMIER MEDICAL ACCESS OF GEORGIA
Practice address
609 Cherry Street
Suite 321
Macon, GA 31201
Phone
(478) 335-8187
NPI assigned
May 9, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Japan WhiteNPI 1093259731
Title
Provider
Phone
(478) 335-8187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

609 Cherry Street
Suite 321
Macon, GA 31201

Mailing address

5580 Thomaston Rd Ste 18
Macon, GA 31220-8121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260417001947 GA Part B Supplier - Clinic/Group Practice 8022584911 Receives reassigned benefits from 1 practitioner
Practice locations: Macon, GA

National Provider Directory

National Provider Directory

Locations

5580 Thomaston Rd
Ste 18
Macon, GA 31220
Phone (478) 207-9651

609 Cherry St
Ste 321
Macon, GA 31201
Phone (478) 335-8187

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1427848738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 THOMASTON RD STE 18",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312208121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 CHERRY STREET",
            "address_2": "SUITE 321",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-335-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL ACCESS OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JAPAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "478-335-8187"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.