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MIDDLE GEORGIA CHEST AND MEDICAL CENTER LLC NPI 1194215954


NPI Information

NPI: 1194215954
Provider Name: MIDDLE GEORGIA CHEST AND MEDICAL CENTER, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 11D0975982

Address:
1209 COLUMBIA DR
MILLEDGEVILLE, GA
ZIP 31061
Phone: (478) 452-3200
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MIDDLE GEORGIA CHEST AND MEDICAL CENTER, LLC is an internal medicine in Milledgeville, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MIDDLE GEORGIA CHEST AND MEDICAL CENTER, LLC NPI is 1194215954. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1209 COLUMBIA DR
MILLEDGEVILLE, GA
ZIP 31061
Phone: (478) 452-3200
Fax: (478) 452-1515

The provider's authorized official is Anil K Puri .
The authorized official title is Officer and has the following contact phone number (478) 452-3200.

The CLIA number assigned to this NPI record is 11D0975982 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/16/2018 and was last updated on 5/16/2018.


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
1207R00000XInternal MedicineYes
2207RP1001XInternal MedicinePulmonary DiseaseNo
3207RS0012XInternal MedicineSleep MedicineNo

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
1003125054BMEDICAIDGEORGIA
2803300847AMEDICAIDGEORGIA
3000209833GMEDICAIDGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.