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PHYSICIAN SUPPORT ASSOCIATES PC NPI 1013089994


NPI Information

NPI: 1013089994
Provider Name: PHYSICIAN SUPPORT ASSOCIATES PC

Doing Business As: PHYSICIAN SUPPORT ASSOCIATES INC

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
1021 DAISY PARK
MACON, GA
ZIP 31201
Phone: (478) 746-2842
Get Directions

PHYSICIAN SUPPORT ASSOCIATES PC is a home infusion therapy pharmacy pharmacy in Macon, GA. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. PHYSICIAN SUPPORT ASSOCIATES PC NPI is 1013089994. The provider is registered as an organization entity type.
The provider Is Doing Business As Physician Support Associates Inc.

The provider's business location address is:

1021 DAISY PARK
MACON, GA
ZIP 31201-020
Phone: (478) 746-2842
Fax: (478) 746-8362

The provider's authorized official is Michael Iteogu .
The authorized official title is President and has the following contact phone number (478) 746-2842.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 3/14/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0004XPharmacyCompounding PharmacyNo
33336H0001XPharmacyHome Infusion Therapy PharmacyPHRE006546GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11140336OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2000320251AMEDICAIDGEORGIA
30126530001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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