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

Coliseum Health Group, LLC

Organization Family Medicine Physician · NPI 1043254360

Coliseum Health Group, LLC provides Family Medicine Physician services in Macon, Georgia. Registered with an NPI since 2006.

In the registry since
2006
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

420 Charter Blvd Ste 304
Macon, GA 31210-4854 Not confirmed with CMS for 19 years — call before visiting
Phone: (478) 405-0280
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1043254360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Pickett — Vp · (478) 405-0280
Other names Grace Family Practice
NPI enumeratedJune 16, 2006
Last updated in NPPESAugust 29, 2007
Mailing address420 Charter Blvd, Suite 304, Macon, GA 31210-4854

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