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

Coliseum Primary Care Services, LLC

Organization Internal Medicine Physician · NPI 1629018023

Coliseum Primary Care Services, LLC is an Internal 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.

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Practice location Address checks out

380 Hospital Dr Bldg A Ste 370
Macon, GA 31217-8001
Phone: (478) 474-4343
Fax: (844) 664-2283
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1629018023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristine Turner — Controller · (843) 856-7938
Other names Coliseum Medical Group-Northside
NPI enumeratedJune 7, 2006
Last updated in NPPESNovember 1, 2016
Mailing addressPo Box 403570, Atlanta, GA 30384-3570

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