MACON MEDICAL CENTER
NPI 1376813451
Pain Medicine - Pain Medicine in Macon, GA

Q: What is Mip Medical Management's NPI number?

The NPI number for Mip Medical Management is 1376813451. It was assigned to this organization in the NPPES registry on January 6, 2012. The provider is doing business as Macon Medical Center.

Q: What is Mip Medical Management's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Active since January 06, 2012CLIA 11D2099222 · Certificate of Compliance

833 WALNUT ST, MACON, GA 31201(478) 741-5901(478) 741-5904 Get Directions Write a Review

NPPES record last updated: February 14, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Macon Medical Center NPPES

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

MACON MEDICAL CENTER (NPI 1376813451) is a healthcare organization registered as a pain medicine in Macon, Georgia and active in the NPI registry since January 2012. The organization holds a CLIA Certificate of Compliance certificate valid through November 19, 2027 and lists Cynthia Marie Tate, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376813451

Entity TypeOrganization

Primary Taxonomy208VP0000X

Legal Business NameMIP MEDICAL MANAGEMENT

Location Address833 WALNUT STMacon, GA 31201-2617

Mailing Address833 Walnut StMacon, GA 31201-2617 · (478) 741-5901 · Fax (478) 741-5904

Phone(478) 741-5901

Fax(478) 741-5904

Organization SubpartNo

Authorized OfficialCynthia Marie TateAdministrator · (478) 741-5901

Enumeration DateJanuary 6, 2012

Last NPPES UpdateFebruary 14, 2013

✔ NPI 1376813451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0000X

License✔ Licensed in GA · 459343135

Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedInternal MedicineTaxonomy 207R00000X · License 45394335 (GA)

833 WALNUT ST, Macon, GA 31201

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Other Names 1

Doing Business AsMacon Medical Center

Other Identifiers 1

Medicare NSC6706880001GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Medical 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 Macon Medical Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ademola Opanuga, M.D.

Family Practice

NPI 1255584355

6330 PRIMROSE HILL CT
Norcross, GA 30092

(404) 365-0160

✔ PECOS✔ Accepts Medicare85 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 Compliance 11D2099222

Macon Medical Center · Macon, GA

Active · expires Nov 19, 2027

CLIA Number11D2099222

Laboratory TypePhysician Office

Certificate Effective DateNovember 20, 2025

Certificate Expiration DateNovember 19, 2027

Laboratory DirectorMaggie L. Hopkins

Laboratory Phone(478) 741-5901

Laboratory LocationMacon Medical Center1818 Forsyth Street Building 200, Suite 214, Macon, GA 31201

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Mip Medical Management's NPI number?

The NPI number for Mip Medical Management is 1376813451. It was assigned to this organization in the NPPES registry on January 6, 2012. The provider is doing business as Macon Medical Center.

Where is Mip Medical Management located?

Mip Medical Management is located at 833 Walnut St, Macon, GA 31201. The listed phone number is (478) 741-5901.

What is Mip Medical Management's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Mip Medical Management enrolled in Medicare?

Yes. Mip Medical Management is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mip Medical Management?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mip Medical Management. 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.

Does Mip Medical Management hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2099222) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mip Medical Management was last updated on February 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.