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MCC INTERNAL MEDICINE 2, LLC
NPI 1366899189
Specialist in Macon, GA

Active since May 23, 2016CLIA Certified · 2 labs
6501 PEAKE RD, SUITE 100, MACON, GA 31210(478) 273-2662(478) 246-0637 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mcc Internal Medicine 2, Llc NPPES

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

MCC INTERNAL MEDICINE 2, LLC (NPI 1366899189) is a healthcare organization registered as a specialist in Macon, Georgia and active in the NPI registry since May 2016. The organization holds 2 active CLIA laboratory certificates and lists Shelley Depp, Payer Relations Liaison, as its authorized official.

NPPES Registry Identity

NPI1366899189
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMCC INTERNAL MEDICINE 2, LLC
Location Address6501 PEAKE RD, SUITE 100Macon, GA 31210-8042
Mailing AddressPo Box 468329Atlanta, GA 31146-8329 · (770) 579-2626 · Fax (866) 499-4593
Phone(478) 273-2662
Fax(478) 246-0637
Organization SubpartNo
Authorized OfficialShelley DeppPayer Relations Liaison · (770) 579-2626
Enumeration DateMay 23, 2016
✔ NPI 1366899189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 66228
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6501 PEAKE RD, Macon, GA 31210
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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

CLIA Laboratory Certificates CMS CLIA 2

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 11D2074716

Mcc Internal Medicine · Macon, GA
Active · expires Mar 8, 2027
CLIA Number11D2074716
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorJeremiah R. Mcclure
Laboratory Phone(478) 273-2662
Laboratory LocationMcc Internal Medicine6501 Peake Road, Suite 100, Macon, GA 31210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2342782

315 Internal Medicine LLC · Macon, GA
Active · expires Apr 26, 2028
CLIA Number11D2342782
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorAnita Haugabrook
Laboratory Phone(478) 338-9140
Laboratory Location315 Internal Medicine LLC6501 Peake Road, Suite 1100, Macon, GA 31210
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. JEFFREY A FRIED M.D.
Orthopaedic Surgery (Sports Medicine)
6501 PEAKE RD, BLDG 400
MACON, GA 31210
Bibb County (478) 477-0966
ANGELA JONES RNFA
Clinical Nurse Specialist
6501 PEAKE RD, SUITE 1000
MACON, GA 31210
Bibb County (478) 737-3468
CHAMBLESS EYE CARE LLC
Optometrist
6501 PEAKE RD, BUILDING 1200
MACON, GA 31210
Bibb County (478) 405-7474
JEFFREY A. FRIED, MD PC
Orthopaedic Surgery
6501 PEAKE RD, BLDG 400
MACON, GA 31210
Bibb County (478) 477-0966
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Physical Therapy)
6501 PEAKE RD, BDLG 100
MACON, GA 31210
Bibb County (478) 757-1667
JENNIFER HOOPER PT
Physical Therapist
6501 PEAKE RD, BLDG 100
MACON, GA 31210
Bibb County (478) 757-1667
EDWARD H YOUNG M.D.
Internal Medicine
6501 PEAKE RD, #700
MACON, GA 31210
Bibb County (478) 476-9285
CYNTHIA CHAMBLESS M.D. LLC
Family Medicine
6501 PEAKE RD, STE 200
MACON, GA 31210
Bibb County (478) 475-1413

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 Mcc Internal Medicine 2, LLC's NPI number?

The NPI number for Mcc Internal Medicine 2, LLC is 1366899189. It was assigned to this organization in the NPPES registry on May 23, 2016.

Where is Mcc Internal Medicine 2, LLC located?

Mcc Internal Medicine 2, LLC is located at 6501 Peake Rd Suite 100, Macon, GA 31210. The listed phone number is (478) 273-2662.

What is Mcc Internal Medicine 2, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Mcc Internal Medicine 2, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mcc Internal Medicine 2, LLC was last updated on May 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.