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COLISEUM MEDICAL GROUP-NORTHSIDE
NPI 1629018023
Internal Medicine in Macon, GA

Active since June 07, 2006
380 HOSPITAL DR, BLDG A SUITE 370, MACON, GA 31217(478) 474-4343(844) 664-2283 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coliseum Medical Group-northside NPPES

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

COLISEUM MEDICAL GROUP-NORTHSIDE (NPI 1629018023) is a healthcare organization registered as an internal medicine in Macon, Georgia and active in the NPI registry since June 2006. The organization lists Kristine Turner, Controller, as its authorized official.

NPPES Registry Identity

NPI1629018023
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOLISEUM PRIMARY CARE SERVICES, LLC
Location Address380 HOSPITAL DR, BLDG A SUITE 370Macon, GA 31217-8001
Mailing AddressPo Box 403570Atlanta, GA 30384-3570 · (478) 474-4343 · Fax (844) 664-2283
Phone(478) 474-4343
Fax(844) 664-2283
Organization SubpartNo
Authorized OfficialKristine TurnerController · (843) 856-7938
Enumeration DateJune 7, 2006
Last NPPES UpdateNovember 1, 2016
✔ NPI 1629018023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
380 HOSPITAL DR, Macon, GA 31217
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Other Names 1

Doing Business AsColiseum Medical Group-northside

Other Identifiers 3

OtherDE1497GA · Railroad Medicare
Medicaid195942266AGA
Medicare PINGRP7193GA

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

Accepted Insurance

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

Other Providers at the Same Location NPPES 20

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

VIRGINIA GARRISON CROUSE CRNA
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644
ANDRES BRITO
Student in an Organized Health Care Education/Training Program
380 HOSPITAL DR
MACON, GA 31217
Bibb County (478) 751-0367
DR. NICHOLAS MONACO M.D.
Internal Medicine
380 HOSPITAL DR, SUITE 430
MACON, GA 31217
Bibb County (478) 751-0366
MR. KEATH L. MORGAN CRNA
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644
KELLI SMITH CRNA
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644
MONICA STEVENS-KIRBY LMFT
Marriage & Family Therapist
380 HOSPITAL DR, BLDG A STE 125
MACON, GA 31217
Bibb County (478) 745-8224
MR. RYAN C. WALLENTINE PA-AA
Anesthesiologist Assistant
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644
MR. CHRISTOPHER M SPIVEY CRNA
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644

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 Coliseum Primary Care Services, LLC's NPI number?

The NPI number for Coliseum Primary Care Services, LLC is 1629018023. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is doing business as Coliseum Medical Group-Northside.

Where is Coliseum Primary Care Services, LLC located?

Coliseum Primary Care Services, LLC is located at 380 Hospital Dr Bldg A Suite 370, Macon, GA 31217. The listed phone number is (478) 474-4343.

What is Coliseum Primary Care Services, LLC's specialty?

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

What insurance does Coliseum Primary Care Services, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Coliseum Primary Care Services, 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 Coliseum Primary Care Services, LLC was last updated on November 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.