Organization Active NPI

Maria Cavaliere LLC

  • Primary Care Clinic/Center
  • Macon, GA
National Provider Identifier
1689826315
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
055662 Issued in GA
Legal business name
MARIA CAVALIERE LLC
Practice address
310 Hospital Dr BLDG B
Suite 300
Macon, GA 31217-3895
Phone
(478) 746-0901
Fax
(478) 330-6150
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Maria Cavaliere, MDNPI 1447338413
Title
Manager
Phone
(478) 746-0901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 055662 GA Primary

Addresses

Primary practice location

310 Hospital Dr BLDG B
Suite 300
Macon, GA 31217-3895

Mailing address

310 Hospital Dr BLDG B
Suite 300
Macon, GA 31217-3895
Phone (478) 746-0901

National Provider Directory

National Provider Directory

Locations

310 Hospital Dr
Ste 300
Macon, GA 31217
Phone (478) 746-0901

682 Hemlock St
Ste 200
Macon, GA 31201
Phone (478) 633-6900

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": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1689826315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HOSPITAL DR BLDG B",
            "address_2": "SUITE 300",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173895",
            "telephone_number": "478-746-0901",
            "fax_number": "478-330-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HOSPITAL DR BLDG B",
            "address_2": "SUITE 300",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173895",
            "telephone_number": "478-746-0901",
            "fax_number": "478-330-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA CAVALIERE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "CAVALIERE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-746-0901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "055662",
            "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 Oct 14, 2008; 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.