Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coliseum Health Group, LLC

Organization Family Medicine Physician · NPI 1043254360

Coliseum Health Group, LLC is a Family Medicine Physician in Macon, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

420 Charter Blvd Ste 304
Macon, GA 31210-4854
Phone: (478) 405-0280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1043254360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Pickett — Vp · (478) 405-0280
Other names Grace Family Practice
NPI enumeratedJune 16, 2006
Last updated in NPPESAugust 29, 2007
Mailing address420 Charter Blvd, Suite 304, Macon, GA 31210-4854

Other providers in Macon