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: October 18, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midtown Vascular Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Midtown Vascular Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1114969110
1425 GEORGIA AVE STE 201A
Macon, GA 31201
(478) 250-1325
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Physician Consultants Of Georgia Interventional LLC enrolled in Medicare?

Yes. Physician Consultants Of Georgia Interventional LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physician Consultants Of Georgia Interventional LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Physician Consultants Of Georgia Interventional 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.