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MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC
NPI 1205113057
Internal Medicine - Cardiovascular Disease in Macon, GA

Active since November 08, 2011CLIA Certified · 3 labs
6070 LAKESIDE COMMONS DR, MACON, GA 31210(478) 254-2644(478) 254-4924 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Middle Georgia Heart And Vascular Center, Llc NPPES

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

MIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC (NPI 1205113057) is a healthcare organization registered as a cardiovascular disease in Macon, Georgia and active in the NPI registry since November 2011. The organization holds 3 active CLIA laboratory certificates and lists Judy Howard, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205113057
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameMIDDLE GEORGIA HEART AND VASCULAR CENTER, LLC
Location Address6070 LAKESIDE COMMONS DRMacon, GA 31210-5778
Mailing Address6070 Lakeside Commons DrMacon, GA 31210-5778 · (478) 254-2644 · Fax (478) 254-4924
Phone(478) 254-2644
Fax(478) 254-4924
Organization SubpartNo
Authorized OfficialJudy HowardOffice Manager · (478) 254-2644
Enumeration DateNovember 8, 2011
Last NPPES UpdateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1205113057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 41768
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
6070 LAKESIDE COMMONS DR, Macon, GA 31210
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 11D2033834

Middle Georgia Heart And Vascular Center · Macon, GA
Active · expires Dec 31, 2027
CLIA Number11D2033834
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. William Knopf
Laboratory Phone(478) 254-2644
Laboratory LocationMiddle Georgia Heart And Vascular Center6070 Lakeside Commons Drive, Suite A, Macon, GA 31210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2033832

Middle Georgia Heart & Vascular · Warner Robins, GA
Active · expires Dec 11, 2027
CLIA Number11D2033832
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorWilliam D. Knopf
Laboratory Phone(478) 254-2644
Laboratory LocationMiddle Georgia Heart & Vascular1654 Watson Boulevard, Warner Robins, GA 31093
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D0990180

Middle Georgia Heart & Vascular, LLC · Griffin, GA
Active · expires Aug 15, 2027
CLIA Number11D0990180
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorWilliam Knopf
Laboratory Phone(478) 254-2644
Laboratory LocationMiddle Georgia Heart & Vascular, LLC321 S Ninth Street, Griffin, GA 30224
CLIA data matches this NPI record on: 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.

SERWAH SARPONMA AMPONSAH FNP
Nurse Practitioner
6070 LAKESIDE COMMONS DR
MACON, GA 31210
Bibb County (478) 254-2644
MORGAN DOWD
Nurse Practitioner
6070 LAKESIDE COMMONS DR
MACON, GA 31210
Bibb County (478) 254-2644
STEPHANIE VAN DINE
Nurse Practitioner (Family)
6070 LAKESIDE COMMONS DR
MACON, GA 31210
Bibb County (478) 254-2644
SUSANNAH BURNS GOODMAN NP
Nurse Practitioner (Family)
6070 LAKESIDE COMMONS DR
MACON, GA 31210
Bibb County (478) 254-2644
AUDRA N JOHNSON NP
Nurse Practitioner
6070 LAKESIDE COMMONS DR
MACON, GA 31210
Bibb County (478) 254-2644
HEATHER HALL NP
Nurse Practitioner
6070 LAKESIDE COMMONS DR
MACON, GA 31210
Bibb County (478) 254-2644
WILLIAM DOUGLAS KNOPF MD
Internal Medicine (Cardiovascular Disease)
6070 LAKESIDE COMMONS DR
MACON, GA 31210
Bibb County (478) 254-2644

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 Middle Georgia Heart And Vascular Center, LLC's NPI number?

The NPI number for Middle Georgia Heart And Vascular Center, LLC is 1205113057. It was assigned to this organization in the NPPES registry on November 8, 2011.

Where is Middle Georgia Heart And Vascular Center, LLC located?

Middle Georgia Heart And Vascular Center, LLC is located at 6070 Lakeside Commons Dr, Macon, GA 31210. The listed phone number is (478) 254-2644.

What is Middle Georgia Heart And Vascular Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Middle Georgia Heart And Vascular Center, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Middle Georgia Heart And Vascular Center, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Middle Georgia Heart And Vascular Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Middle Georgia Heart And Vascular Center, LLC was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.