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MACMED LLC
NPI 1417062613
General Practice in St Simons Island, GA

Active since August 20, 2006
2927 DEMERE RD, ATTEN: DR ANDREW T MCRAE, ST SIMONS ISLAND, GA 31522(912) 638-1999 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Macmed Llc NPPES

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

MACMED LLC (NPI 1417062613) is a healthcare organization registered as a general practice in St Simons Island, Georgia and active in the NPI registry since August 2006. The organization lists Judy S Rivenbark, Owner, as its authorized official.

NPPES Registry Identity

NPI1417062613
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMACMED LLC
Location Address2927 DEMERE RD, ATTEN: DR ANDREW T MCRAESt Simons Island, GA 31522-1620
Mailing Address1606 Reynolds StBrunswick, GA 31520-6731 · (850) 279-4917 · Fax (850) 279-4917
Phone(912) 638-1999
Organization SubpartNo
Authorized OfficialJudy S RivenbarkOwner · (850) 279-4917
Enumeration DateAugust 20, 2006
Last NPPES UpdateAugust 29, 2012
✔ NPI 1417062613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · GA11411
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License GA051731 (GA)
Also ListedHospitalistTaxonomy 208M00000X · License GA11411 (GA)
2927 DEMERE RD, St Simons Island, GA 31522
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Other Identifiers 2

Medicaid300034700AGA
Medicare ID-Type UnspecifiedGRP3484GA · Group Number

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

Other Providers at the Same Location NPPES 12

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

DR. GAIL KATHERINE GODWIN PHD, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2927 DEMERE RD
SAINT SIMONS IS, GA 31522
Glynn County (912) 638-1999
WILLIAM W. DANIELS, JR., M.D., PC
Psychiatry & Neurology (Psychiatry)
2927 DEMERE RD
ST SIMONS ISLAND, GA 31522
Glynn County (912) 634-1050
NEW VISIONS INC.
Psychiatry & Neurology (Psychiatry)
2927 DEMERE RD
ST SIMONS ISLAND, GA 31522
Glynn County (912) 638-1999
JENNIFER MCPETERS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2927 DEMERE RD
SAINT SIMONS ISLAND, GA 31522
Glynn County (912) 638-1999
BY THE SEA PHYSICIAN PRACTICE LLC
Psychiatric Hospital
2927 DEMERE RD
SAINT SIMONS ISLAND, GA 31522
Glynn County (912) 638-1999
MICHAEL J. SWANEY MD
Psychiatry & Neurology (Psychiatry)
2927 DEMERE RD
SAINT SIMONS ISLAND, GA 31522
Glynn County (912) 638-1999
DR. WILLIAM W. DANIELS JR. M.D.
Psychiatry & Neurology (Psychiatry)
2927 DEMERE RD
ST SIMONS ISLAND, GA 31522
Glynn County (912) 634-1050
MRS. AMY LYNN CHAFFIN APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2927 DEMERE RD
SAINT SIMONS ISLAND, GA 31522
Glynn County (912) 638-1999

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 Macmed LLC's NPI number?

The NPI number for Macmed LLC is 1417062613. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is Macmed LLC located?

Macmed LLC is located at 2927 Demere Rd Atten: Dr Andrew T Mcrae, St Simons Island, GA 31522. The listed phone number is (912) 638-1999.

What is Macmed LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Macmed LLC was last updated on August 29, 2012. 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.