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MACON CARDIOVASCULAR INSTITUTE
NPI 1104866599
Surgery in Macon, GA

Active since June 07, 2006
575 1ST ST, MACON, GA 31201(478) 743-9762(478) 746-6612 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Macon Cardiovascular Institute NPPES

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

MACON CARDIOVASCULAR INSTITUTE (NPI 1104866599) is a healthcare organization registered as a surgery in Macon, Georgia and active in the NPI registry since June 2006. The organization lists Lucy F Dermo, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1104866599
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMACON CARDIOVASCULAR INSTITUTE
Location Address575 1ST STMacon, GA 31201-2825
Mailing Address575 1st StMacon, GA 31201-2825 · (478) 743-9762 · Fax (478) 746-6612
Phone(478) 743-9762
Fax(478) 746-6612
Organization SubpartNo
Authorized OfficialLucy F DermoBusiness Manager · (478) 743-9762
Enumeration DateJune 7, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1104866599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
575 1ST ST, Macon, GA 31201
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. RANDALL B BROWN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
DR. MAURICE M SOLIS M.D.
Surgery (Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
DR. JAMES L FOSTER JR. M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
GAIL A. KLINE NP-C
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Bibb County (478) 742-7566
CHRISTY REBECCA ETHERIDGE FNP
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
MELISSA C. MCPHAIL FNP-BC
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
PATRICK KOHTZ M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
DR. JOE H JOHNSON M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762

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 Macon Cardiovascular Institute's NPI number?

The NPI number for Macon Cardiovascular Institute is 1104866599. It was assigned to this organization in the NPPES registry on June 7, 2006.

Where is Macon Cardiovascular Institute located?

Macon Cardiovascular Institute is located at 575 1st St, Macon, GA 31201. The listed phone number is (478) 743-9762.

What is Macon Cardiovascular Institute's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Macon Cardiovascular Institute was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.