MIDTOWN VASCULAR CENTER
NPI 1316389836
Clinic/Center - Medical Specialty in Macon, GA

Active since July 25, 2013
1445 GEORGIA AVE, SUITE 1, MACON, GA 31201(478) 250-1328 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Midtown Vascular Center NPPES

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

MIDTOWN VASCULAR CENTER (NPI 1316389836) is a healthcare organization registered as a medical specialty in Macon, Georgia and active in the NPI registry since July 2013. The organization lists Reuben Kris Ellis, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1316389836
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePHYSICIAN CONSULTANTS OF GEORGIA INTERVENTIONAL LLC
Location Address1445 GEORGIA AVE, SUITE 1Macon, GA 31201-7610
Mailing AddressPo Box 4461Macon, GA 31208-4461 · (478) 250-1328
Organization SubpartNo
Authorized OfficialReuben Kris EllisProprietor · (478) 250-1328
Enumeration DateJuly 25, 2013
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
NPI 1316389836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in GA · 055819
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X · License 055819 (GA)
Also ListedClinic/Center · End-Stage Renal Disease (ESRD) TreatmentTaxonomy 261QE0700X · License 055819 (GA)
1445 GEORGIA AVE, Macon, GA 31201

Other Names 1

Doing Business AsMidtown Vascular Center

Other Identifiers 1

Medicaid003124971AGA

Accepted Insurance

Other Providers at the Same Location NPPES

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

Physical Medicine & Rehabilitation
1445 GEORGIA AVE, SUITE I
MACON, GA 31201

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 Physician Consultants Of Georgia Interventional LLC's NPI number?

The NPI number for Physician Consultants Of Georgia Interventional LLC is 1316389836. It was assigned to this organization in the NPPES registry on July 25, 2013. The provider is doing business as Midtown Vascular Center.

Where is Physician Consultants Of Georgia Interventional LLC located?

Physician Consultants Of Georgia Interventional LLC is located at 1445 Georgia Ave Suite 1, Macon, GA 31201. The listed phone number is (478) 250-1328.

What is Physician Consultants Of Georgia Interventional LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

What insurance does Physician Consultants Of Georgia Interventional LLC accept?

Health plans from Alliant Health Plans, Inc. list Physician Consultants Of Georgia Interventional 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 Physician Consultants Of Georgia Interventional LLC was last updated on November 19, 2020. 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.