DR. LUTHER VANCE JR. MD
NPI 1205001542
Family Medicine in Macon, GA
About Dr. Luther Vance Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LUTHER VANCE JR. MD (NPI 1205001542) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (019354) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (1975).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Luther Vance Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Luther Vance reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jonesboro, GA 30236
- Reassigned Medicare billing, Georgia enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Luther Vance's NPI number?
The NPI number for Luther Vance is 1205001542. It was assigned to this individual provider in the NPPES registry on April 28, 2008.
Where is Luther Vance located?
Luther Vance practices at 1385 Pio Nono Ave, Macon, GA 31204. The listed phone number is (478) 743-1883.
What is Luther Vance's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Luther Vance enrolled in Medicare?
Yes. Luther Vance is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Luther Vance's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luther Vance reassigns Medicare benefits to Trinity Wellness Center, LLC. (Jonesboro, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luther Vance's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Luther Vance was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Luther Vance Jr., MD · NPI 1205001542
Family Medicine physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since April 28, 2008.
## Identity
- **NPI:** 1205001542 (Entity type: Individual)
- **Enumerated:** April 28, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 019354 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1385 PIO NONO AVE, Macon, GA 31204-4633
- **Phone:** (478) 743-1883
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Trinity Wellness Center, LLC. (NPI 1518466739, Jonesboro, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Meharry Medical College School Of Medicine, class of 1975
## Record status
- **NPPES last updated:** April 28, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1205001542) · Data from the CMS NPPES public registry.