COLISEUM MEDICAL CENTER, LLC


Address: 340 Hospital Drive, Macon, GA 31217
Phone: 4787411355

COLISEUM MEDICAL CENTER, LLC (NPI# 1760436810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760436810
Entity Type Organization
Organization Name COLISEUM MEDICAL CENTER, LLC
Other Organization Name COLISEUM CENTER FOR BEHAVIORAL HEALTH
Practice Address 340 Hospital Drive
Macon
GA 31217
Mailing Address 340 Hospital Drive
Macon
GA 31217-3838
Practice Telephone 4787411355
Practice Fax Number 4787421247
Mailing Telephone 4787411355
Mailing Fax Number 4787421247
Enumeration Date 2006-05-22
Last Update Date 2018-07-11
Authorized Official Name SCOTT T. ANDERTON (CFO)
Authorized Official Telephone 4784648140
Is Organization Subpart Y
Parent Organization Name COLISEUM MEDICAL CENTER, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
DEPT OF LABOR 166206000 01
GA BLUE CROSS 3521 01

Other Provider/Organization Names

Other Name Type Code
Coliseum Center for Behavioral Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1598719643 Coliseum Medical Center, LLC General Acute Care Hospital C/o Coliseum Health System, 350 Hospital Drive, Macon, GA 31217 2006-05-22
1275587263 Coliseum Medical Center, LLC Rehabilitation Unit C/o Coliseum Health System, 350 Hospital Drive, Macon, GA 31217 2006-05-22

Office Location

Street Address 340 HOSPITAL DRIVE
City MACON
State GA
Zip Code 31217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528331626 Ccbh Psychiatric Hospitalists, LLC Psychiatry & Neurology 340 Hospital Drive, Ccbh Psychiatric Hospitalists, LLC, Macon, GA 31217 2012-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326535998 Khuzema Mohsin Student in an Organized Health Care Education/Training Program 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 2018-04-18
1083135271 Angela Polk Nurse Practitioner 310 Hospital Dr Ste 305, Macon, GA 31217 2017-06-28
1235662305 Natalie Rodziewicz Student in an Organized Health Care Education/Training Program 380 Hospital Drive, Suite 430, Macon, GA 31217 2017-04-06
1427430180 Brett Forehand Nurse Practitioner 330 Hospital Dr Ste 304, Macon, GA 31217 2015-06-18
1376772640 Beverly Barksdale Sanders IIi Internal Medicine 330 Hospital Dr., Ste. 304, Macon, GA 31217 2009-07-08
1528218393 Vladimir Zahradnik Surgery 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 2008-09-29
1821274267 Mary Charmaine Estrella Campana Physical Therapist 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 2008-01-16
1033300785 Joann Sams Sinclair Nurse Practitioner 4164 Riggins Mill Road, Macon, GA 31217 2007-08-07
1376689737 Grier Godfrey Dentist Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 2007-01-30
1053408328 Sujatha K. Reddy Psychiatry & Neurology 175 Emery Highway, Macon, GA 31217 2006-10-06
Find all providers in zip 31217

Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861677668 The Medical Center of Central Georgia, Inc. Psychiatric Unit 777 Hemlock St, Macon, GA 31201-2102 2007-12-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922230648 Peachstate Psychiatric Services, Inc. Psychiatric Unit 1720 Peachtree St Nw Ste 640, Atlanta, GA 30309-2450 2009-08-13
1982634572 Gwinnett Hospital System, Inc. Psychiatric Unit 250 Scenic Hwy, Lawrenceville, GA 30045-5675 2006-07-03
1730123431 John D. Archbold Memorial Hospital, Inc. Psychiatric Unit 401 Old Albany Rd, Thomasville, GA 31792-4014 2006-06-15
1023057775 Floyd Healthcare Management Inc Psychiatric Unit 306 Shorter Ave Nw, Rome, GA 30165-4268 2006-06-06
1902453111 Sedzer Health LLC Psychiatric Unit 931 E Winthrope Ave, Millen, GA 30442-1839 2019-08-22
1578026431 South Atlanta Psychiatry LLC Psychiatric Unit 253 Upper Riverdale Rd Sw Ste C, Riverdale, GA 30274-4945 2019-04-08
1518440254 Prime Healthcare Foundation - Southern Regional, LLC Psychiatric Unit 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 2018-09-10
1831602903 Savannah Health Services, LLC Psychiatric Unit 4700 Waters Ave, Savannah, GA 31404-6220 2017-11-13
1225559610 Upson County Hospital Inc Psychiatric Unit 801 W Gordon St, Thomaston, GA 30286-3426 2017-07-06
1861926438 Evans Memorial Hospital, Inc. Psychiatric Unit 200 N River St, Claxton, GA 30417-1659 2017-04-20
Find all providers with the same taxonomy

Competitor

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City MACON
Zip Code 31217

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Dataset Information

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.

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