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PHYSICIAN CONSULTANTS OF GEORGIA WARNER ROBINS LLC
NPI 1033716139
Internal Medicine - Nephrology in Warner Robins, GA

Active since October 02, 2020CLIA 11D2060931 · Waiver
1570 WATSON BLVD, WARNER ROBINS, GA 31093(478) 250-1325(478) 254-6860 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Physician Consultants Of Georgia Warner Robins Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIAN CONSULTANTS OF GEORGIA WARNER ROBINS LLC (NPI 1033716139), doing business as Warner Robins Vascular Center, is a healthcare organization registered as a nephrology in Warner Robins, Georgia and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Brianna Goodie, Clinical Manager, as its authorized official.

NPPES Registry Identity

NPI1033716139
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePHYSICIAN CONSULTANTS OF GEORGIA WARNER ROBINS LLC
Location Address1570 WATSON BLVDWarner Robins, GA 31093-3474
Mailing AddressPo Box 6612Macon, GA 31208-6612 · (478) 250-1325 · Fax (478) 254-6860
Phone(478) 250-1325
Fax(478) 254-6860
Organization SubpartNo
Authorized OfficialBrianna GoodieClinical Manager · (478) 972-4467
Enumeration DateOctober 2, 2020
NPPES CertifiedOctober 2, 2020
✔ NPI 1033716139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1570 WATSON BLVD, Warner Robins, GA 31093
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Other Names 1

Doing Business AsWarner Robins Vascular Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2060931

Physician Consultants Of Georgia, LLC · Macon, GA
Active · expires Jun 19, 2027
CLIA Number11D2060931
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorReuben K. Ellis
Laboratory Phone(478) 250-1325
Laboratory LocationPhysician Consultants Of Georgia, LLC1445 Georgia Avenue, Suite 3, Macon, GA 31201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLO C LEE MD
Obstetrics & Gynecology
1570 WATSON BLVD, SUITE 100
WARNER ROBINS, GA 31093
Houston County (478) 923-6462
MADALYN N. DAVIDOFF, M.D., LLC
Internal Medicine (Cardiovascular Disease)
1570 WATSON BLVD
WARNER ROBINS, GA 31093
Houston County (478) 929-5997
HOUSTON OB/GYN, LLC
Obstetrics & Gynecology
1570 WATSON BLVD, SUITE 100
WARNER ROBINS, GA 31093
Houston County (478) 923-6462
SOUTHERN SLEEP TECHNOLOGIES, INC
Clinic/Center (Sleep Disorder Diagnostic)
1570 WATSON BLVD, SUITE A
WARNER ROBINS, GA 31093
Houston County (478) 757-0759
MS. MELISSA KIRKLAND PAYNE NP-C
Nurse Practitioner (Family)
1570 WATSON BLVD
WARNER ROBINS, GA 31093
Houston County (478) 929-5997
ADVANCED OB GYN CARE OF WARNER ROBINS, LLC
Obstetrics & Gynecology
1570 WATSON BLVD, SUITE 110
WARNER ROBINS, GA 31093
Houston County (478) 923-6462
DR. MADALYN N DAVIDOFF M.D.
Internal Medicine (Cardiovascular Disease)
1570 WATSON BLVD
WARNER ROBINS, GA 31093
Houston County (478) 929-5997

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician Consultants Of Georgia Warner Robins LLC's NPI number?

The NPI number for Physician Consultants Of Georgia Warner Robins LLC is 1033716139. It was assigned to this organization in the NPPES registry on October 2, 2020. The provider is doing business as Warner Robins Vascular Center.

Where is Physician Consultants Of Georgia Warner Robins LLC located?

Physician Consultants Of Georgia Warner Robins LLC is located at 1570 Watson Blvd, Warner Robins, GA 31093. The listed phone number is (478) 250-1325.

What is Physician Consultants Of Georgia Warner Robins LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Physician Consultants Of Georgia Warner Robins LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2060931) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Physician Consultants Of Georgia Warner Robins LLC was last updated on October 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.