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

Macon Cardiovascular Institute

Organization Surgery Physician · NPI 1104866599

Macon Cardiovascular Institute is a Surgery Physician in Macon, Georgia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

575 1st St
Macon, GA 31201-2825
Phone: (478) 743-9762
Fax: (478) 746-6612
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X

Record details

NPI number1104866599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucy Dermo — Business Manager · (478) 743-9762
NPI enumeratedJune 7, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address575 1st St, Macon, GA 31201-2825

Other providers in Macon