Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Middle Georgia Heart and Vascular Center, LLC

Organization Cardiovascular Disease Physician · NPI 1205113057

Middle Georgia Heart and Vascular Center, LLC provides Cardiovascular Disease Physician services 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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