NPIMap

Organization Active NPI

Pagemed, LLC

  • Maternal & Fetal Medicine Physician
  • Macon, GA
National Provider Identifier
1619274180
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
PAGEMED, LLC
Practice address
380 Hospital Dr BLDG Suite460
Macon, GA 31217-8001
Phone
(478) 216-5233
Fax
(404) 419-7031
NPI assigned
Feb 18, 2011
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Ms. Carrie Culver
Title
Chief Operating Officer
Phone
(404) 872-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X Primary

Addresses

Primary practice location

380 Hospital Dr BLDG Suite460
Macon, GA 31217-8001

Mailing address

550 Peachtree St NE
Suite 1275
Atlanta, GA 30308-2208
Phone (404) 872-3121

Other practice location 1

550 Peachtree St NE
Suite 1275
Atlanta, GA 30308-2208
Phone (404) 872-3121 ext. 3880

Other identifiers 1

IdentifierTypeStateIssuer
003108560MedicaidGA

National Provider Directory

National Provider Directory

Locations

550 Peachtree St NE
Ste 1275
Atlanta, GA 30308
Phone (404) 872-3121

380 Hospital Dr
Ste 460
Macon, GA 31217
Phone (478) 200-8152

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1619274180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1275",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082208",
            "telephone_number": "404-872-3121",
            "fax_number": "404-872-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DR BLDG SUITE460",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178001",
            "telephone_number": "478-216-5233",
            "fax_number": "404-419-7031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Peachtree St NE",
            "address_2": "Suite 1275",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082208",
            "country_code": "US",
            "telephone_number": "404-872-3121 x3880",
            "fax_number": "404-872-3119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAGEMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "CULVER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "404-872-3121",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003108560",
            "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 16, 2023; 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.