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MIP MEDICAL MANAGEMENT NPI 1376813451


NPI Information

NPI: 1376813451
Provider Name: MIP MEDICAL MANAGEMENT

Doing Business As: MACON MEDICAL CENTER

Classification: Pain Medicine - 208VP0000X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 11D2099222

Address:
833 WALNUT ST
MACON, GA
ZIP 31201
Phone: (478) 741-5901
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MIP MEDICAL MANAGEMENT is a pain medicine pain medicine in Macon, GA. The provider is pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. MIP MEDICAL MANAGEMENT NPI is 1376813451. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Macon Medical Center.

The provider's business location address is:

833 WALNUT ST
MACON, GA
ZIP 31201-617
Phone: (478) 741-5901
Fax: (478) 741-5904

The provider's authorized official is Cynthia Marie Tate .
The authorized official title is Administrator and has the following contact phone number (478) 741-5901.

The CLIA number assigned to this NPI record is 11D2099222 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 2/14/2013.


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
1207K00000XAllergy & ImmunologyNo
2207R00000XInternal Medicine45394335GEORGIANo
3208VP0000XPain MedicinePain Medicine459343135GEORGIAYes

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
16706880001MEDICARE NSCGEORGIA

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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