1. Home
  2. Directory
  3. Georgia
  4. Macon
  5. Clinic Center
  6. NPI Profile

MACON EYE SURGERY CENTER, LLC
NPI 1356497747
Clinic/Center - Ophthalmologic Surgery in Macon, GA

Active since January 26, 2007
864 1ST ST, MACON, GA 31201(478) 259-2481(478) 812-4028 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2025, Dec 11, 2025, Oct 11, 2024 (3 updates tracked since 2024).

About Macon Eye Surgery Center, Llc NPPES

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

MACON EYE SURGERY CENTER, LLC (NPI 1356497747) is a healthcare organization registered as an ophthalmologic surgery in Macon, Georgia and active in the NPI registry since January 2007. The organization lists Alisha Stone, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1356497747
Entity TypeOrganization
Primary Taxonomy261QS0132X
Legal Business NameMACON EYE SURGERY CENTER, LLC
Location Address864 1ST STMacon, GA 31201-6875
Mailing AddressPo Box 6908Warner Robins, GA 31095-6908 · (478) 551-4642 · Fax (478) 929-6266
Phone(478) 259-2481
Fax(478) 812-4028
Organization SubpartNo
Authorized OfficialAlisha StoneCredentialing Specialist · (478) 551-4642
Enumeration DateJanuary 26, 2007
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1356497747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ophthalmologic SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0132X
Also ListedOphthalmologyTaxonomy 207W00000X
864 1ST ST, Macon, GA 31201
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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)

Macon Eye Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Macon Eye Surgery Center, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Timothy Ducey, M.D.
Ophthalmology
NPI 1780023960
216 CORDER RD
Warner Robins, GA 31088
(478) 923-5872
✔ PECOS✔ Accepts Medicare15 mi
Johnny Gayton, M.D.
Ophthalmology
NPI 1144224627
216 CORDER RD
Warner Robins, GA 31088
(478) 923-5872
✔ PECOS✔ Accepts Medicare15 mi
Jackie Johnson, MD
Ophthalmology
NPI 1679707541
216 CORDER RD
Warner Robins, GA 31088
(478) 923-5872
✔ PECOS✔ Accepts Medicare15 mi
Felicia Fountain, M.D.
Ophthalmology
NPI 1770894867
2400 BELLEVUE RD 18 ERIN OFFICE PARK
Dublin, GA 31021
(478) 272-5933
✔ PECOS✔ Accepts Medicare46 mi
Jenna Kim, MD
Ophthalmology
NPI 1184037129
3890 JOHNS CREEK PKWY STE 240
Suwanee, GA 30024
(770) 604-4141
✔ PECOS✔ Accepts Medicare90 mi
Juan Servat, M.D.
Ophthalmology
NPI 1255530762
3890 JOHNS CREEK PKWY STE 240
Suwanee, GA 30024
(770) 604-4141
✔ PECOS✔ Accepts Medicare90 mi

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 of Waiver 11D2312395

Macon Eye Surgery Center, LLC · Macon, GA
Expired · Oct 9, 2026
CLIA Number11D2312395
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorLisa M. Barker
Laboratory Phone(478) 741-6522
Laboratory LocationMacon Eye Surgery Center, LLC864 1st Street, Macon, GA 31201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Macon Eye Surgery Center, LLC's NPI number?

The NPI number for Macon Eye Surgery Center, LLC is 1356497747. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Macon Eye Surgery Center, LLC located?

Macon Eye Surgery Center, LLC is located at 864 1st St, Macon, GA 31201. The listed phone number is (478) 259-2481.

What is Macon Eye Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ophthalmologic Surgery, with taxonomy code 261QS0132X.

Is Macon Eye Surgery Center, LLC enrolled in Medicare?

Yes. Macon Eye Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Macon Eye Surgery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Ophthalmology, reassign their Medicare billing to Macon Eye Surgery Center, 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 Macon Eye Surgery Center, LLC accept?

Health plans from Alliant Health Plans, Inc. list Macon Eye Surgery Center, 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 Macon Eye Surgery Center, LLC was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.