GA DIAGNOSTIC PROVIDERS LLC - NPI 1538768296

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QS1200X and a focus in Sleep Disorder Diagnostic.

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About Ga Diagnostic Providers Llc NPPES

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

GA DIAGNOSTIC PROVIDERS LLC (NPI 1538768296) is a healthcare organization registered as a sleep disorder diagnostic in Macon, Georgia and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Warner Robins and lists Mark Shane Mobley, President, as its authorized official.

NPPES Registry Identity

NPI1538768296

Entity TypeOrganization

Primary Taxonomy261QS1200X

Legal Business NameGA DIAGNOSTIC PROVIDERS LLC

Location Address5400 RIVERSIDE DR STE 202Macon, GA 31210-0818

Mailing Address5400 Riverside Dr Ste 202Macon, GA 31210-0818 · (478) 972-8865 · Fax (855) 428-4597

Phone(478) 787-0059

Fax(855) 428-4597

Organization SubpartNo

Authorized OfficialMark Shane MobleyPresident · (478) 972-8865

Enumeration DateOctober 22, 2020

Last NPPES UpdateFebruary 21, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2025

✔ NPI 1538768296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Sleep Disorder DiagnosticAmbulatory Health Care Facilities

Taxonomy Code261QS1200X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedPhysiological LaboratoryTaxonomy 293D00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

5400 RIVERSIDE DR STE 202, Macon, GA 31210

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Secondary Practice Location 1

Location 1100 Tommy Stalnaker Dr Ste AWarner Robins, GA 31088-1403 · Phone (478) 787-0059 · Fax (855) 428-4597

Other Providers at the Same Location NPPES 6

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

JESSICA BRINSON NORRIS

Nurse Practitioner (Family)