CENTRAL GEORGIA PULMONARY ASSOCIATES, LLC - NPI 1669521902

Q: What is Central Georgia Pulmonary Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

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About Central Georgia Pulmonary Associates, Llc NPPES

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

CENTRAL GEORGIA PULMONARY ASSOCIATES, LLC (NPI 1669521902) is a healthcare organization registered as a pulmonary disease in Macon, Georgia and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Eatonton and lists Clay W Spence, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669521902

Entity TypeOrganization

Primary Taxonomy207RP1001X

Legal Business NameCENTRAL GEORGIA PULMONARY ASSOCIATES, LLC

Location Address458 HEMLOCK ST STE 200Macon, GA 31201-4200

Mailing Address458 Hemlock St Ste 200Macon, GA 31201-4200 · (478) 744-2445 · Fax (478) 744-0906

Phone(478) 744-2445

Fax(478) 744-0906

Organization SubpartNo

Authorized OfficialClay W SpenceAdministrator · (478) 744-2445

Enumeration DateJanuary 9, 2007

Last NPPES UpdateApril 29, 20263 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1669521902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X · License 043061 (GA)

458 HEMLOCK ST STE 200, Macon, GA 31201

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Secondary Practice Location 1

Location 1110 Harmony Xing Ste 2Eatonton, GA 31024-9553 · Phone (706) 909-8098 · Fax (844) 749-3901

Other Identifiers 2

Medicaid478219073AGA

OtherCK2788GA · Medicare Id Specified

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 ›

CLIA Laboratory Certificates CMS CLIA

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 11D0264077

Central Georgia Pulmonary Associates · Macon, GA

Expired · Jun 30, 2026

CLIA Number11D0264077

Laboratory TypePhysician Office

Certificate Effective DateJune 12, 2024

Certificate Expiration DateJune 30, 2026

Laboratory DirectorMark V. Hendricks

Laboratory Phone(478) 744-2445

Laboratory LocationCentral Georgia Pulmonary Associates458 Hemlock Street, Suite 200, Macon, GA 31201

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.

Other Providers at the Same Location NPPES 7

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

JO ANN MARIE BLYTHE NP

Nurse Practitioner (Acute Care)