GA DIAGNOSTIC PROVIDERS (NPI# 1538768296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538768296 |
| Entity Type | Organization |
| Organization Name | GA DIAGNOSTIC PROVIDERS |
| Practice Address |
5400 Riverside Dr Ste 202 Macon GA 31210-0818 |
| Practice Telephone | 4787870059 |
| Practice Fax Number | 8554284597 |
| Mailing Telephone | 4789728865 |
| Mailing Fax Number | 8554284597 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | MR. MARK SHANE MOBLEY (PRESIDENT) |
| Authorized Official Telephone | 4789728865 |
| Authorized Official Credential | RRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 293D00000X | Physiological Laboratory | Laboratories | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Tommy Stalnaker Dr Ste A, Warner Robins, GA 310881403 | 4787870059 | 8554284597 |
| Street Address |
5400 RIVERSIDE DR STE 202 |
| City | MACON |
| State | GA |
| Zip Code | 31210-0818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336423573 | Sleep Services of America, Inc | Clinic/Center | 215 Sheraton Blvd., Suite A, Macon, GA 31210-1359 | 2011-10-06 |
| 1669521902 | Central Georgia Pulmonary Associates, LLC | Clinic/Center | 840 Pine Street . Suite 780, Macon, GA 31201 | 2007-01-09 |
| 1518976554 | Sleepmed Inc | Clinic/Center | 770 Hemlock St, Suite C, Macon, GA 31201 | 2006-08-07 |
| 1225032261 | Southern Sleep Technologies, Inc | Clinic/Center | 215 Sheraton Blvd Ste A, Macon, GA 31210-1359 | 2005-06-08 |
| 1740782432 | Digitrace Care Services, Inc. | Clinic/Center | 770 Hemlock St, Macon, GA 31201 | 2018-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259570 | Tusonah Ann Birmingham | Clinic/Center | 7297 Walton Hl, Fairburn, GA 30213-7110 | 2020-09-14 |
| 1336623834 | Proact LLC | Clinic/Center | 6160 Peachtree Dunwoody Rd Ste A103, Sandy Springs, GA 30328-4578 | 2018-09-20 |
| 1003396359 | Nations Sleep Disorder Centers LLC of Gerogia | Clinic/Center | 1202 Hillcrest Pkwy Ste A, Dublin, GA 31021-3053 | 2018-08-16 |
| 1669952917 | Nations Sleep Disorder Centers LLC of Middle Georgia | Clinic/Center | 524 S Houston Lake Rd Ste E200, Warner Robins, GA 31088-9057 | 2018-08-16 |
| 1306358668 | Rss Gary Nelson LLC | Clinic/Center | 11912 Jones Bridge Rd Ste B, Alpharetta, GA 30005-4613 | 2017-10-26 |
| 1306356035 | Tanner Medical Center, Inc | Clinic/Center | 100 Professional Pl Ste 307, Carrollton, GA 30117-3872 | 2017-10-09 |
| 1730626219 | Somnacare LLC | Clinic/Center | 1954 Airport Rd Ste 222, Chamblee, GA 30341-4936 | 2017-01-23 |
| 1225493869 | Usa Sleep Dianostic Mobile Service LLC | Clinic/Center | 233 12th St Ste 910b, Columbus, GA 31901-2462 | 2015-12-28 |
| 1285003350 | Georgia Neurodiagnostics, LLC | Clinic/Center | 3295 River Exchange Dr Ste 561-133, Norcross, GA 30092-4241 | 2015-09-18 |
| 1669812574 | Paladin Sleep Services LLC | Clinic/Center | 167 Highland Park Cir, Brunswick, GA 31523-1161 | 2013-06-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.