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

Physician Consultants of Georgia Interventional LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1316389836

Physician Consultants of Georgia Interventional LLC is an Ambulatory Surgical Clinic/Center in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
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

1445 Georgia Ave Ste 1
Macon, GA 31201-7610
Phone: (478) 250-1328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 055819 (GA)
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X · Licence 055819 (GA)
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Taxonomy 261QE0700X · Licence 055819 (GA)

Record details

NPI number1316389836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reuben Ellis — Proprietor · (478) 250-1328
Other names Midtown Vascular Center; Midtown Vascular Center
NPI enumeratedJuly 25, 2013
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing addressPo Box 4461, Macon, GA 31208-4461

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