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: July 19, 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.Information from the official NPPES registry record, last updated November 19, 2020.

NPPES Registry Identity

NPI1316389836
Entity TypeOrganization
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. How NPI validation works

Primary Specialty

Clinic/Center · Medical Specialty

Taxonomy 261QM2500X · Ambulatory Health Care Facilities

Licensed in GA · 055819

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently… Show more

Also Listed

Clinic/Center · Ambulatory Surgical

Taxonomy 261QA1903X · Ambulatory Health Care Facilities

Licensed in GA · 055819

Also Listed

Clinic/Center · End-Stage Renal Disease (ESRD) Treatment

Taxonomy 261QE0700X · Ambulatory Health Care Facilities

Licensed in GA · 055819
1445 GEORGIA AVE, Macon, GA 31201

Also on File with NPPES

Other Names1
Midtown Vascular Center (Doing Business As)
Other Identifiers1
003124971A (Medicaid, GA)

Reviews for MIDTOWN VASCULAR CENTER

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316389836, enumerated as an "organization" on July 25, 2013.

The provider is located at 1445 GEORGIA AVE SUITE 1 MACON, GA 31201 and the phone number is (478) 250-1328.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.