NICHOLAS A PIETRZAK, MD, LLC
NPI 1285837716
Family Medicine in Macon, GA

Active since June 11, 2007CLIA 11D0936937 · Microscopy
3951 RIDGE AVE, STE B, MACON, GA 31210(478) 757-1934(478) 757-1596 Get Directions Write a Review

NPPES record last updated: June 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas A Pietrzak, Md, Llc NPPES

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

NICHOLAS A PIETRZAK, MD, LLC (NPI 1285837716) is a healthcare organization registered as a family medicine in Macon, Georgia and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through November 11, 2026 and lists Kim Cook, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1285837716
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNICHOLAS A PIETRZAK, MD, LLC
Location Address3951 RIDGE AVE, STE BMacon, GA 31210-5050
Mailing Address3951 Ridge Ave, Ste BMacon, GA 31210-5050 · (478) 757-1934 · Fax (478) 757-1596
Fax(478) 757-1596
Organization SubpartNo
Authorized OfficialKim CookOffice Administrator · (478) 757-1934
Enumeration DateJune 11, 2007
Last NPPES UpdateJune 7, 2010
NPI 1285837716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 044308
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3951 RIDGE AVE, Macon, GA 31210

Other Identifiers 3

Medicare ID-Type Unspecified08BBVMCGA
Medicare UPINH00697GA
Medicaid00834413DGA

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

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0936937

Nicholas Pietrzak, MD, LLC · Macon, GA
Active · expires Nov 11, 2026
CLIA Number11D0936937
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorNicholas Pietrzak
Laboratory Phone(478) 757-1934
Laboratory LocationNicholas Pietrzak, MD, LLC3951 Ridge Ave Suite B, Macon, GA 31210
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

Allergy & Immunology
3951 RIDGE AVE, SUITE C
MACON, GA 31210
Nurse Practitioner (Family)
3951 RIDGE AVE, STE B
MACON, GA 31210
Pediatrics
3951 RIDGE AVE, STE A
MACON, GA 31210
Pediatrics
3951 RIDGE AVE, SUITE A
MACON, GA 31210
Family Medicine
3951 RIDGE AVE, STE B
MACON, GA 31210

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 Nicholas A Pietrzak, MD, LLC's NPI number?

The NPI number for Nicholas A Pietrzak, MD, LLC is 1285837716. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Nicholas A Pietrzak, MD, LLC located?

Nicholas A Pietrzak, MD, LLC is located at 3951 Ridge Ave Ste B, Macon, GA 31210. The listed phone number is (478) 757-1934.

What is Nicholas A Pietrzak, MD, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Nicholas A Pietrzak, MD, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0936937) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nicholas A Pietrzak, MD, 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 Nicholas A Pietrzak, MD, 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 Nicholas A Pietrzak, MD, LLC was last updated on June 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.