NPIMap

Organization Active NPI

Central Georgia Pulmonary Associates, LLC

  • Pulmonary Disease Physician
  • Macon, GA
National Provider Identifier
1669521902
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CENTRAL GEORGIA PULMONARY ASSOCIATES, LLC
Practice address
458 Hemlock St Ste 200
Macon, GA 31201-4200
Phone
(478) 744-2445
Fax
(478) 744-0906
NPI assigned
Jan 9, 2007
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Clay W Spence
Title
Administrator
Phone
(478) 744-2445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 043061 GA

Addresses

Primary practice location

458 Hemlock St Ste 200
Macon, GA 31201-4200

Mailing address

458 Hemlock St Ste 200
Macon, GA 31201-4200
Phone (478) 744-2445

Other practice location 1

110 Harmony Xing Ste 2
Eatonton, GA 31024-9553
Phone (706) 909-8098

Other practice location 2

5363 Veterans Pkwy # 2320
Columbus, GA 31904-4423
Phone (706) 600-2427

Other identifiers 2

IdentifierTypeStateIssuer
478219073AMedicaidGA
CK2788OtherGAMEDICARE ID SPECIFIED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421001499 GA Part B Supplier - Clinic/Group Practice 0648266015 Receives reassigned benefits from 10 practitioners
Practice locations: Macon, GA; Eatonton, GA

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
11D0264077Central Georgia Pulmonary Associates458 Hemlock Street, Suite 200, Macon, GA 31201ComplianceJun 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Central Ga Pulmonary Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

380 Hospital Dr
Ste 430
Macon, GA 31217
Phone (478) 751-0181

458 Hemlock St
Ste 200
Macon, GA 31201
Phone (478) 741-5945

840 Pine St
Ste 780
Macon, GA 31201
Phone (478) 742-8297

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAGGAA

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 53

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 53

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1669521902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 HEMLOCK ST STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312014200",
            "telephone_number": "478-744-2445",
            "fax_number": "478-744-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 HEMLOCK ST STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312014200",
            "telephone_number": "478-744-2445",
            "fax_number": "478-744-0906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Harmony Xing Ste 2",
            "address_purpose": "LOCATION",
            "city": "Eatonton",
            "state": "GA",
            "postal_code": "310249553",
            "country_code": "US",
            "telephone_number": "706-909-8098",
            "fax_number": "844-749-3901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5363 Veterans Pkwy # 2320",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319044423",
            "country_code": "US",
            "telephone_number": "706-600-2427",
            "fax_number": "833-455-9210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL GEORGIA PULMONARY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-744-2445"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "GA",
            "license": "043061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "478219073A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID SPECIFIED",
            "identifier": "CK2788",
            "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 Sep 9, 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.