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

Macon Medical Clinic, LLC

Organization Health Service Clinic/Center · NPI 1063823482

Macon Medical Clinic, LLC is a Health Service Clinic/Center in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
Specialties on file
3
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

3350 Northside Dr
Macon, GA 31210-2504
Phone: (478) 405-2121
Fax: (478) 405-0114
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 044065 (GA)
Health Service Clinic/Center Taxonomy 261QH0100X · Licence 044065 (GA)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 044065 (GA)

Record details

NPI number1063823482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammad Rahman — Provider/Physician/Owner · (478) 405-2121
NPI enumeratedMay 20, 2014
Last updated in NPPESMay 20, 2014
Mailing address3350 Northside Dr, Macon, GA 31210-2504

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