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VINEVILLE INTERNAL MEDICINE LLC
NPI 1396955431
Internal Medicine in Macon, GA

Active since May 23, 2007CLIA Certified · 5 labs
3448 VINEVILLE AVE, MACON, GA 31204(478) 405-0045(478) 405-0054 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vineville Internal Medicine Llc NPPES

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

VINEVILLE INTERNAL MEDICINE LLC (NPI 1396955431) is a healthcare organization registered as an internal medicine in Macon, Georgia and active in the NPI registry since May 2007. The organization holds 5 active CLIA laboratory certificates and lists Katie B Andrews, Administration, as its authorized official.

NPPES Registry Identity

NPI1396955431
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVINEVILLE INTERNAL MEDICINE LLC
Location Address3448 VINEVILLE AVEMacon, GA 31204-1867
Mailing Address3448 Vineville AveMacon, GA 31204-1867 · (478) 405-0045 · Fax (478) 405-0054
Phone(478) 405-0045
Fax(478) 405-0054
Organization SubpartNo
Authorized OfficialKatie B AndrewsAdministration · (478) 405-0045
Enumeration DateMay 23, 2007
Last NPPES UpdateAugust 20, 2014
✔ NPI 1396955431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 049552
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3448 VINEVILLE AVE, Macon, GA 31204
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedGRP7599GA

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

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 11D1005138

Vineville Internal Medicine · Macon, GA
Active · expires Dec 11, 2027
CLIA Number11D1005138
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorMary Bell H. Vaughn
Laboratory Phone(478) 405-0045
Laboratory LocationVineville Internal Medicine3448 Vineville Avenue, Macon, GA 31204
CLIA data matches this NPI record on: Address 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.

Certificate of Waiver 11D2345042

Vineville Internal Medicine · Forsyth, GA
Active · expires Jun 3, 2028
CLIA Number11D2345042
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorMary Bell Vaughn
Laboratory Phone(478) 405-0045
Laboratory LocationVineville Internal Medicine126 North Lee Street, Suite 164, Forsyth, GA 31029
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2230971

Vineville Internal Medicine, Perry · Perry, GA
Active · expires Jul 28, 2027
CLIA Number11D2230971
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorMary Bell H. Vaughn
Laboratory Phone(478) 405-0045
Laboratory LocationVineville Internal Medicine, Perry1024 Keith Drive, Perry, GA 31069
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2321500

Vineville Internal Medicine Gray · Gray, GA
Active · expires Apr 3, 2027
CLIA Number11D2321500
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorMary Bell Vaughn
Laboratory Phone(478) 405-0045
Laboratory LocationVineville Internal Medicine Gray147 James Street, Gray, GA 31032
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2321502

Vineville Internal Medicine Warner Robins · Warner Robins, GA
Active · expires Apr 3, 2027
CLIA Number11D2321502
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorMary Bell Vaughn
Laboratory Phone(478) 405-0045
Laboratory LocationVineville Internal Medicine Warner Robins506 Osigian Blvd, Ste 3, Warner Robins, GA 31088
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

KRISTA LAUREN KEEN NP
Nurse Practitioner (Family)
3448 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 405-0045
DR. DARYL FRANKLIN REMICK MD
Family Medicine
3448 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 405-0045
DR. BRIANA IACOBONI BIRDSONG MD
Internal Medicine
3448 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 405-0045
DR. HUGH FRANKLIN SMISSON IV MD
Internal Medicine
3448 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 405-0045
KATIE ALDRIDGE NP
Nurse Practitioner (Family)
3448 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 405-0045
SARAH ROSE MITCHUM FNP-C
Nurse Practitioner (Family)
3448 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 405-0045
CATHERINE ELYSE DENNIS
Nurse Practitioner (Family)
3448 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 405-0045
TAMMY H. HUGHES MSN
Nurse Practitioner (Family)
3448 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 405-0045

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 Vineville Internal Medicine LLC's NPI number?

The NPI number for Vineville Internal Medicine LLC is 1396955431. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Vineville Internal Medicine LLC located?

Vineville Internal Medicine LLC is located at 3448 Vineville Ave, Macon, GA 31204. The listed phone number is (478) 405-0045.

What is Vineville Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Vineville Internal Medicine LLC hold CLIA laboratory certificates?

Yes. 5 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.

What insurance does Vineville Internal Medicine LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Vineville Internal Medicine 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 Vineville Internal Medicine LLC was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.