NICHOLAS A PIETRZAK, MD, LLC
NPI 1285837716
Family Medicine in Macon, GA
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
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicholas A Pietrzak, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Nicholas A Pietrzak, MD, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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.
Is Nicholas A Pietrzak, MD, LLC enrolled in Medicare?
Yes. Nicholas A Pietrzak, MD, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nicholas A Pietrzak, MD, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Nicholas A Pietrzak, MD, LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Nicholas A Pietrzak, Md, Llc · NPI 1285837716
Family Medicine organization in Macon, Georgia. Organization record, active in the CMS NPPES registry since June 11, 2007.
## Identity
- **NPI:** 1285837716 (Entity type: Organization)
- **Enumerated:** June 11, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kim Cook, OFFICE ADMINISTRATOR
## Practice location
- **Address:** 3951 RIDGE AVE, STE B, Macon, GA 31210-5050
- **Phone:** (478) 757-1934 · **Fax:** (478) 757-1596
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 7, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 08BBVMC (GA); Medicare UPIN H00697 (GA); Medicaid 00834413D (GA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1285837716) · Data from the CMS NPPES public registry.