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

Im-Peds Primary Care LLC

Organization Internal Medicine Physician · NPI 1578572293

Im-Peds Primary Care LLC is an Internal Medicine Physician in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
2
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

360 Hospital Dr Bldg D SUITE110
Macon, GA 31217-3874
Phone: (478) 841-2707
Fax: (478) 841-2708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 051256 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 051256 (GA)

Record details

NPI number1578572293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary McKinley — Doctor · (478) 841-2707
NPI enumeratedAugust 5, 2006
Last updated in NPPESFebruary 11, 2019
Mailing address360 Hospital Dr Ste 110, Macon, GA 31217-8052

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