MACON NORTHSIDE HOSPITAL LLC NPI 1811940976

NPI Information

  • NPI: 1811940976
  • Provider Name: MACON NORTHSIDE HOSPITAL, LLC
  • Classification: General Acute Care Hospital - 282N00000X
  • Entity Type: Organization
  • Doing Business As: PIEDMONT MACON NORTH HOSPITAL
  • CLIA Number: 11D0701630
  • Address: 400 CHARTER BLVD
    MACON, GA
    ZIP 31210
  • Phone: (478) 757-5992

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NPI Details

MACON NORTHSIDE HOSPITAL, LLC is a general acute care hospital in Macon, GA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. MACON NORTHSIDE HOSPITAL, LLC NPI is 1811940976. The provider is registered as an organization entity type.
The provider Is Doing Business As Piedmont Macon North Hospital.

The provider's business location address is:

400 CHARTER BLVD
MACON, GA
ZIP 31210-831
Phone: (478) 757-5992
Fax: (478) 757-5995

The provider's authorized official is Robert C Cross .
The authorized official title is VP GOVERNMENT REIMBURSEMENTReimbursement and has the following contact phone number (470) 271-3401.

The CLIA number assigned to this NPI record is 11D0701630 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 2/26/2024.

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
1282N00000XGeneral Acute Care HospitalYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102718909MEDICAIDNEW YORK
2911882900MEDICAIDFLORIDA
33525OTHERGEORGIABLUE CROSS
4141351CFMEDICAIDNEW YORK
5025706MEDICAIDMICHIGAN
6166206700OTHERDEPT OF LABOR
71729221MEDICAIDLOUISIANA
800295358AMEDICAIDGEORGIA
982604500MEDICAIDWISCONSIN

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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