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GA DIAGNOSTIC PROVIDERS LLC
NPI 1538768296
Clinic/Center - Sleep Disorder Diagnostic in Macon, GA

Active since October 22, 2020
5400 RIVERSIDE DR STE 202, MACON, GA 31210(478) 787-0059(855) 428-4597 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2025, Oct 22, 2020 (2 updates tracked since 2020).

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.

TAYLOR BROOKE DICKERSON NP-C
Nurse Practitioner (Family)
5400 RIVERSIDE DR STE 202
MACON, GA 31210
Bibb County (478) 787-0059
ANNA LORRAINE KLEINBERG FNP
Nurse Practitioner (Family)
5400 RIVERSIDE DR STE 202
MACON, GA 31210
Bibb County (478) 787-0059
JESSICA KAYE CRAFT DNP-FNP-C
Nurse Practitioner (Family)
5400 RIVERSIDE DR STE 202
MACON, GA 31210
Bibb County (478) 787-0059
MRS. AMBER DAWN ROMANO APRN, FNP-BC
Nurse Practitioner (Family)
5400 RIVERSIDE DR STE 202
MACON, GA 31210
Bibb County (855) 228-4597
HALEY REYNOLDS FNP-C
Nurse Practitioner (Family)
5400 RIVERSIDE DR STE 202
MACON, GA 31210
Bibb County (855) 228-4597
JESSICA BRINSON NORRIS
Nurse Practitioner (Family)
5400 RIVERSIDE DR STE 202
MACON, GA 31210
Bibb County (478) 787-0059

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 Ga Diagnostic Providers LLC's NPI number?

The NPI number for Ga Diagnostic Providers LLC is 1538768296. It was assigned to this organization in the NPPES registry on October 22, 2020.

Where is Ga Diagnostic Providers LLC located?

Ga Diagnostic Providers LLC is located at 5400 Riverside Dr Ste 202, Macon, GA 31210. The listed phone number is (478) 787-0059.

What is Ga Diagnostic Providers LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Sleep Disorder Diagnostic, with taxonomy code 261QS1200X.

When was this NPI record last updated?

The NPPES record for Ga Diagnostic Providers LLC was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.