Macon Pain Center, P.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

011231 Issued in GA

Legal business name

MACON PAIN CENTER, P.C.

Practice address

3356 Vineville Ave
Macon, GA 31204-2328

Phone

(478) 476-9886

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By 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

Dr. Carlos J Giron, M.D.NPI 1053392068

Title

Ceo

Phone

(478) 476-9886

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447388574. Details of each certification follow.

• CCN 11C0001199 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 11C0001199

Legal name

MACON PAIN CENTER, PC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 26, 2002

Last certification

Mar 29, 2018

Ownership / control type

Proprietary

Facility address

3356 Vineville Avenue
Macon, GA 31204

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

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Michael D Dykes, MD

  • Interventional Pain Medicine Physician
  • Statesboro, GA
  • NPI 1164456240
  Medicare reassignment NPD
• Michael K. McFadden, M.D.

  • Interventional Pain Medicine Physician
  • Hawkinsville, GA
  • NPI 1437156189
  Medicare reassignment NPD
• Carlos Jorge Giron, M.D.

  • Interventional Pain Medicine Physician
  • Macon, GA
  • NPI 1053392068
  NPD Authorized official
• Preston Chandler Delaperriere, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Macon, GA
  • NPI 1699756361
  NPD

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447388574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13483",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312083483",
            "telephone_number": "478-476-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042328",
            "telephone_number": "478-476-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON PAIN CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIRON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-476-9886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "011231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00707319F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macon Orthopaedic & Hand Center, PA (OrthoGeorgia)
• Macon Orthopaedic & Hand Center, PA
• Macon Orthopaedics & Integrative Sports Medicine Center, PC
• Macon Outpatient Surgery Inc
• Macon Outpatient Surgery, LLC
• Macon Periodontics and Implant Dentistry, LLC
• Macon Physical Therapy
• Macon Psychiatric Hospitalists, LLC
• Macon Rehabilitation & Performance Center Inc
• Macon Rehabilitation and Healthcare Center, LLC

• Ambulatory Surgical Clinic/Center in Macon, GA
• Providers in Macon, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.