Individual provider Active NPI

Charles C Snow, M.D.

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1891873840
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
041367 Issued in GA
Practice address
6501 Peake Rd
#700
Macon, GA 31210-8042
Phone
(478) 476-9285
Fax
(478) 474-9034
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 041367 GA Primary

Addresses

Primary practice location

6501 Peake Rd
#700
Macon, GA 31210-8042

Mailing address

6501 Peake Rd
#700
Macon, GA 31210-8042
Phone (478) 476-9285

Other identifiers 3

IdentifierTypeStateIssuer
00864311AMedicaidGA
110205944OtherGARAILROAD MEDICARE
357430OtherGAWELLCARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901000149 GA Practitioner - Internal Medicine 5496720567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Macon, LLCGroup PAC ID 9234104019, 73 clinicians

Practice addresses (Care Compare)

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-7444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
041367GAMDInternal Medicine Physician
14876MSMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Macon, LLC Internal Medicine CurrentSince Jul 19, 2004 Accepting new patients
Hospital Specialists of Dublin, PC Internal Medicine Past Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients

Locations

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

777 Hemlock St
#104
Macon, GA 31201
Phone (478) 633-7550

Interoperability endpoints

  • Direct secure messaging: csnow433705@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1891873840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD",
            "address_2": "#700",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108042",
            "telephone_number": "478-476-9285",
            "fax_number": "478-474-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD",
            "address_2": "#700",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108042",
            "telephone_number": "478-476-9285",
            "fax_number": "478-474-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "CHARLES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "041367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00864311A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110205944",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "357430",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.