| Ga Diagnostic Providers LLC | |
|
5400 Riverside Dr Ste 202 Macon GA 31210-0818 | |
| (478) 787-0059 | |
| (855) 428-4597 |
| Full Name | Ga Diagnostic Providers LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 5400 Riverside Dr Ste 202, Macon, Georgia |
| Authorized Official Name and Position | Mark Shane Mobley (PRESIDENT) |
| Authorized Official Contact | 4789728865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ga Diagnostic Providers LLC 5400 Riverside Dr Ste 202 Macon GA 31210-0818 Ph: (478) 972-8865 | Ga Diagnostic Providers LLC 5400 Riverside Dr Ste 202 Macon GA 31210-0818 Ph: (478) 787-0059 |
| NPI Number | 1538768296 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 02/21/2025 |
| Certification Date | 02/21/2025 |
| Medicare PECOS PAC ID | 6406369594 |
|---|---|
| Medicare Enrollment ID | O20250701004043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538768296 | NPI | - | NPPES |
| Provider Name | Haley Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861909251 PECOS PAC ID: 4082967450 Enrollment ID: I20181101000816 |
| Provider Name | Taylor Brooke Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073180774 PECOS PAC ID: 6709273972 Enrollment ID: I20220419001178 |
| Provider Name | Anna Lorraine Kleinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598395592 PECOS PAC ID: 8921485525 Enrollment ID: I20220520001331 |
| Provider Name | Amber Dawn Romano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699407940 PECOS PAC ID: 8426427030 Enrollment ID: I20221202001973 |
| Provider Name | Jessica Brinson Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962277905 PECOS PAC ID: 8527416494 Enrollment ID: I20231204000645 |
Harbormed Care of Ga PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3051 Whiteside Rd, Macon, GA 31216 Phone: 478-347-2400 |
Harvey Jones MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 |
First Choice Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2460 Shurling Dr, Macon, GA 31211 Phone: 478-787-4266 Fax: 478-787-4199 |
Internal Medicine Associates, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 |
Metabolic Health of Lawrenceville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 Bowman Park Ste D, Macon, GA 31210 Phone: 678-431-1119 |
New Chance Centers LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2733 Sheraton Dr Ste 110, Macon, GA 31204 Phone: 478-202-7273 Fax: 478-239-0094 |