MACON GYN/OB ASSOCIATES NPI 1073629630

NPI Information

  • NPI: 1073629630
  • Provider Name: MACON GYN/OB ASSOCIATES
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 11D0264179
  • Address: 650 COLISEUM PL
    MACON, GA
    ZIP 31217
  • Phone: (478) 745-7935

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NPI Details

MACON GYN/OB ASSOCIATES is a specialist in Macon, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MACON GYN/OB ASSOCIATES NPI is 1073629630. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

650 COLISEUM PL
MACON, GA
ZIP 31217-867
Phone: (478) 745-7935
Fax: (478) 745-7806

The provider's authorized official is A T Coppage .
The authorized official title is President and has the following contact phone number (478) 745-7935.

The CLIA number assigned to this NPI record is 11D0264179 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/23/2006 and was last updated on 7/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistGEORGIAYes

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: 11/21/2025

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