Organization Active NPI

315 Internal Medicine LLC

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1649129651
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
315 INTERNAL MEDICINE LLC
Practice address
6501 Peake Rd Ste 1100
Macon, GA 31210-8053
Phone
(478) 475-5133
Fax
(866) 561-8562
NPI assigned
Jan 23, 2026
Organization subpart
No

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2342782315 Internal Medicine LLC6501 Peake Road, Suite 1100, Macon, GA 31210Certificate of waiverApr 26, 2028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260326000586 GA Part B Supplier - Clinic/Group Practice 8729563952 Receives reassigned benefits from 3 practitioners
Practice locations: Macon, GA; Conyers, GA

National Provider Directory

National Provider Directory

Locations

6501 Peake Rd
Ste 1100
Macon, GA 31210
Phone (478) 338-9140

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Melissa S Land
Title
Director of Accounting
Phone
(478) 731-5912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6501 Peake Rd Ste 1100
Macon, GA 31210-8053

Mailing address

6501 Peake Rd Ste 1100
Macon, GA 31210-8053
Phone (478) 475-5133

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1649129651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD STE 1100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108053",
            "telephone_number": "478-475-5133",
            "fax_number": "866-561-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD STE 1100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108053",
            "telephone_number": "478-475-5133",
            "fax_number": "866-561-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "315 INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "478-731-5912"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "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 Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.