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

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: August 02, 2026.

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

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.

Other Providers at the Same Location NPPES 2

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

RIVERDALE RADIOLOGY CENTER
Radiologic Technologist (Magnetic Resonance Imaging)
833 WALNUT ST
MACON, GA 31201
Bibb County (478) 745-2727
RADIOLOGY CENTER OF MACON LLC
Clinic/Center (Radiology)
833 WALNUT ST
MACON, GA 31201
Bibb County (478) 745-2727

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.

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.