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

Premier Cardiothoracic Surgery, LLC

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1902337637

Premier Cardiothoracic Surgery, LLC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
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

688 Walnut St Ste 102
Macon, GA 31201-2677
Phone: (478) 955-1804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 043813 (GA)

Record details

NPI number1902337637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fady Wanna — M.D. · (478) 955-1804
NPI enumeratedMarch 24, 2017
Last updated in NPPESMarch 24, 2017
Mailing address688 Walnut St, Suite 102, Macon, GA 31201-2677

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