PIEDMONT MACON MEDICAL CENTER
NPI 1275587263
Rehabilitation Unit in Macon, GA
Hospital Overall Rating: 3 out of 5 stars
NPI Status: Active since May 22, 2006
Contact Information
C/O COLISEUM HEALTH SYSTEM
350 HOSPITAL DRIVE
MACON, GA
ZIP 31217
Phone: (478) 765-7000
Fax: (478) 742-1247
- Organization
- Rehabilitation Unit
- Accepts Insurance
- CLIA Number: 11D0264136
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-14-2027
About PIEDMONT MACON MEDICAL CENTER
Piedmont Macon Medical Center is a hospital serving the Macon, Georgia region. The facility is a rehabilitation unit. The NPI number of this hospital is 1275587263 assigned on May 2006. The hospital's primary taxonomy code is 273Y00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Piedmont Macon Medical Center. The authorized official of this NPI record is Robert C Cross (Vp Government Reimbursement)
- NPI
- 1275587263
- Provider Legal Name
- COLISEUM MEDICAL CENTER, LLC
- Other Organization Name
- PIEDMONT MACON MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- C/O COLISEUM HEALTH SYSTEM 350 HOSPITAL DRIVE MACON, GA 31217
- Location Phone
- (478) 765-7000
- Location Fax
- (478) 742-1247
- Mailing Address
- 350 HOSPITAL DR MACON, GA 31217
- Mailing Phone
- (478) 765-7000
- Mailing Fax
- (478) 742-1247
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-22-2006
- Last Update Date
- 02-26-2024
- Code Navigator
According to the Hospital Compare program data, Piedmont Macon Medical Center has average overall quality rating based on the hospital's performance on seven separate quality measures including: mortality, safety of care, readmissions, patient experience, effectiveness of care, timeliness of care and efficient use of medical imaging. These quality measures are combined in a weighted average to generate a star rating of 3 out of 5 stars for this provider. The hospital provides emergency services like acute medical care or trauma care.
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 04-01-1994 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Unit
- Taxonomy Code
- 273Y00000X
- Type
- Hospital Units
- Taxonomy Description
- In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Standard Expanded Bronze - HMO
- Standard Gold - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clarity Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Thrive Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze with Atrium Health - HMO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Hospital Compare Quality Information
Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.
-
Overall Quality Rating - 3 out of 5 stars - Average
The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.
Nurse Communication - 3 out of 5 stars - Average
Nurse communication - star rating
Doctor Communication - 4 out of 5 stars - Good
Doctor communication - star rating
Staff Responsiveness - 3 out of 5 stars - Average
Staff responsiveness - star rating
Communication About Medicines - 2 out of 5 stars - Fair
Communication about medicines - star rating
Discharge Information - 3 out of 5 stars - Average
Discharge information - star rating
Care Transition - 2 out of 5 stars - Fair
Care transition - star rating
Cleanliness - 3 out of 5 stars - Average
Cleanliness - star rating
Quietness - 4 out of 5 stars - Good
Quietness - star rating
Recommend Hospital - 4 out of 5 stars - Good
Recommend hospital - star rating
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Hospital Type Acute Care Hospitals - Voluntary non-profit - Private
-
Emergency Services: Yes
Shows if the hospital provides emergency services like acute medical care or trauma care.
-
Meaningful Use of Electronic Health Records: Y
Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).
Hospital Complications and Mortality Quality Ratings
Rate of complications for hip/knee replacement patients is number of cases too small
Evaluation Period: July 2020 - March 2023
Death rate for heart attack patients is no different than the national rate
Evaluation Period: July 2020 - June 2023
Death rate for CABG surgery patients is no different than the national rate
Evaluation Period: July 2020 - June 2023
Death rate for COPD patients is no different than the national rate
Evaluation Period: July 2020 - June 2023
Death rate for heart failure patients is no different than the national rate
Evaluation Period: July 2020 - June 2023
Death rate for pneumonia patients is no different than the national rate
Evaluation Period: July 2020 - June 2023
Death rate for stroke patients is no different than the national rate
Evaluation Period: July 2020 - June 2023
Pressure ulcer rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Death rate among surgical inpatients with serious treatable complications is no different than the national rate
Evaluation Period: July 2021 - June 2023
Iatrogenic pneumothorax rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
In-hospital fall-associated fracture rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Postoperative hemorrhage or hematoma rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Postoperative acute kidney injury requiring dialysis rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Postoperative respiratory failure rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Perioperative pulmonary embolism or deep vein thrombosis rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Postoperative sepsis rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Postoperative wound dehiscence rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Abdominopelvic accidental puncture or laceration rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
CMS Medicare PSI 90: Patient safety and adverse events composite is no different than the national value
Evaluation Period: July 2021 - June 2023
Hospital Associated Infections Quality Ratings
Central Line Associated Bloodstream Infection (ICU + select Wards) is no different than national benchmark
Evaluation Period: January 2023 - December 2023
Catheter Associated Urinary Tract Infections (ICU + select Wards) is no different than national benchmark
Evaluation Period: January 2023 - December 2023
SSI - Colon Surgery is no different than national benchmark
Evaluation Period: January 2023 - December 2023
Clostridium Difficile (C.Diff) is better than the national benchmark
Evaluation Period: January 2023 - December 2023
MRSA Bacteremia is no different than national benchmark
Evaluation Period: January 2023 - December 2023
SSI - Abdominal Hysterectomy is no different than national benchmark
Evaluation Period: January 2023 - December 2023
Unplanned Hospital Visits Quality Ratings
Hospital return days for heart attack patients is average days per 100 discharges
Evaluation Period: July 2020 - June 2023
Hospital return days for heart failure patients is more days than average per 100 discharges
Evaluation Period: July 2020 - June 2023
Hospital return days for pneumonia patients is more days than average per 100 discharges
Evaluation Period: July 2020 - June 2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) is no different than the national rate
Evaluation Period: January 2020 - December 2022
Ratio of unplanned hospital visits after hospital outpatient surgery is no different than expected
Evaluation Period: January 2022 - December 2022
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate is no different than the national rate
Evaluation Period: July 2020 - June 2023
Rate of readmission for CABG is no different than the national rate
Evaluation Period: July 2020 - June 2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients is no different than the national rate
Evaluation Period: July 2020 - June 2023
Heart failure (HF) 30-Day Readmission Rate is no different than the national rate
Evaluation Period: July 2020 - June 2023
Rate of readmission after hip/knee replacement is number of cases too small
Evaluation Period: July 2020 - June 2023
Rate of readmission after discharge from hospital (hospital-wide) is no different than the national rate
Evaluation Period: July 2022 - June 2023
Pneumonia (PN) 30-Day Readmission Rate is no different than the national rate
Evaluation Period: July 2020 - June 2023
Hospital Maternal Health Quality Ratings
Elective Delivery percentage is 0%
Percentage of mothers whose deliveries were scheduled 1 to 2 weeks early.
Evaluation Period: January 2023 - December 2023Maternal Morbidity Structural Measure: Yes
Assesses whether or not the hospital participates in a Perinatal Quality Improvement Collaborative Initiative.
Evaluation Period: January 2023 - December 2023
Hospital Timely and Effective Care Quality Ratings
Emergency department volume is high
Evaluation Period: January 2022 - December 2022
Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders is not available
Evaluation Period: January 2023 - December 2023
Admit Decision Time to ED Departure Time for Admitted Patients - psychiatric/mental health disorders is not available
Evaluation Period: January 2023 - December 2023
Percentage of healthcare personnel who are up to date with COVID-19 vaccinations is 8.7%
Percentage of healthcare personnel who completed COVID-19 primary vaccination series.
Evaluation Period: October 2023 - December 2023Hospital Harm - Severe Hypoglycemia is not available
Evaluation Period: January 2023 - December 2023
Hospital Harm - Severe Hyperglycemia is not available
Evaluation Period: January 2023 - December 2023
Healthcare workers given influenza vaccination is 49%
Percentage of healthcare workers given influenza vaccination.
Evaluation Period: October 2023 - March 2024Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better is 208 minutes
Average time patients spent in the emergency department before leaving from the visit.
Evaluation Period: January 2023 - December 2023Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better is 505 minutes
Average time patients spent in the emergency department before being sent home.
Evaluation Period: January 2023 - December 2023Left before being seen is 1 %
Percentage of patients who left the emergency department before being seen.
Evaluation Period: January 2022 - December 2022Head CT results is 75 %
Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival.
Evaluation Period: January 2023 - December 2023Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients is 93 %
Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy.
Evaluation Period: January 2022 - December 2022Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery is not available %
Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery.
Evaluation Period: January 2022 - December 2022ST-Segment Elevation Myocardial Infarction (STEMI) is not available
Evaluation Period: January 2023 - December 2023
Safe Use of Opioids - Concurrent Prescribing is 13
Evaluation Period: January 2023 - December 2023
Appropriate care for severe sepsis and septic shock is 58 %
Severe Sepsis and Septic Shock. Sepsis is a complication that happens when a patient has an extreme response to an infection. Higher percentages are better.
Evaluation Period: January 2023 - December 2023Septic Shock 3-Hour Bundle is 75 %
Septic Shock 3 Hour.
Evaluation Period: January 2023 - December 2023Septic Shock 6-Hour Bundle is 92 %
Severe Sepsis 6 Hour.
Evaluation Period: January 2023 - December 2023Severe Sepsis 3-Hour Bundle is 82
Evaluation Period: January 2023 - December 2023
Severe Sepsis 6-Hour Bundle is 68 %
Septic Shock 6 Hour.
Evaluation Period: January 2023 - December 2023Discharged on Antithrombotic Therapy is 96
Evaluation Period: January 2023 - December 2023
Anticoagulation Therapy for Atrial Fibrillation/Flutter is not available
Evaluation Period: January 2023 - December 2023
Antithrombotic Therapy by End of Hospital Day 2 is not available
Evaluation Period: January 2023 - December 2023
Discharged on Statin Medication is not available
Evaluation Period: January 2023 - December 2023
Venous Thromboembolism Prophylaxis is 96
Evaluation Period: January 2023 - December 2023
Intensive Care Unit Venous Thromboembolism Prophylaxis is 99
Evaluation Period: January 2023 - December 2023
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- PIEDMONT MACON MEDICAL CENTER has an ownership type of Non-profit
- The facility received it's medicare certification date on 04-01-1994
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 137 |
| Brain disease or condition (non-traumatic) | 31 |
| Brain injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Hip or femur fracture | 47 |
| Hip or knee replacement, amputation or other bone or joint condition | 31 |
| Nervous system disorder (excluding stroke) | 26 |
| Spinal cord disease or condition (non-traumatic) | 17 |
| Spinal cord injury (traumatic) | Not Available - Data not available for this reporting period. |
| Stroke | 93 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0264136
- Facility Type
- Hospital
- Certificate Effective Date
- March 15, 2025
- Certificate Expiration Date
- March 14, 2027
- Laboratory Director
- DR. VINITA MATHUR
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Piedmont Macon Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for PIEDMONT MACON MEDICAL CENTER
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275587263, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
MACON, GA 31217
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275587263, enumerated as an "organization" on May 22, 2006.
The provider is located at C/O COLISEUM HEALTH SYSTEM 350 HOSPITAL DRIVE MACON, GA 31217 and the phone number is (478) 765-7000.
Rehabilitation Unit with taxonomy code 273Y00000X.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.
