Individual provider Active NPI

Macie Kaye Middleton, FNP-C

  • Cardiovascular Disease Physician
  • Brunswick, GA
National Provider Identifier
1730058801
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
APRN-NP303648 Issued in GA
Practice address
3025 Shrine Rd Ste 290
Brunswick, GA 31520-4785
Phone
(912) 466-7660
NPI assigned
Nov 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X APRN-NP303648 GA Primary
Nurse Practitioner 363L00000X APRN-NP303647 GA

Addresses

Primary practice location

3025 Shrine Rd Ste 290
Brunswick, GA 31520-4785

Mailing address

2500 Starling St Ste 404
Brunswick, GA 31520-4269
Phone (912) 466-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202000778 GA Practitioner - Nurse Practitioner 1153814827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

3025 Shrine Rd
Suite 190
Brunswick, GA 31520-4788
Phone (912) 466-7250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP303648GAMDCardiovascular Disease Physician
APRN-NP303647GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc CurrentSince Nov 1, 2025 Accepting new patients

Locations

2500 Starling St
Ste 404
Brunswick, GA 31520
Phone (912) 264-1520

3025 Shrine Rd
Ste 190
Brunswick, GA 31520
Phone (912) 466-7250

3025 Shrine Rd
Ste 290
Brunswick, GA 31520
Phone (912) 267-1026

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1730058801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST STE 404",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204269",
            "telephone_number": "912-466-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 290",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204785",
            "telephone_number": "912-466-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "MACIE",
        "middle_name": "KAYE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "APRN-NP303648",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP303647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.