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

Middle Georgia Heart and Vascular Center, LLC

Organization Cardiovascular Disease Physician · NPI 1205113057

Middle Georgia Heart and Vascular Center, LLC is a Cardiovascular Disease Physician in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
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

6070 Lakeside Commons Dr
Macon, GA 31210-5778
Phone: (478) 254-2644
Fax: (478) 254-4924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 41768 (GA)

Record details

NPI number1205113057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judy Howard — Office Manager · (478) 254-2644
NPI enumeratedNovember 8, 2011
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021
Mailing address6070 Lakeside Commons Dr, Macon, GA 31210-5778

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