PALMYRA SURGICAL, LLC (MACON)
NPI 1851660443
Surgery in Macon, GA

Active since December 28, 2011
420 CHARTER BLVD, SUITE 103, MACON, GA 31210(229) 432-8484(229) 432-8487 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Palmyra Surgical, Llc (macon) NPPES

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

PALMYRA SURGICAL, LLC (MACON) (NPI 1851660443) is a healthcare organization registered as a surgery in Macon, Georgia and active in the NPI registry since December 2011. The organization lists Vito John Bagnato, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1851660443
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePALMYRA SURGICAL, LLC
Location Address420 CHARTER BLVD, SUITE 103Macon, GA 31210-4854
Mailing Address810 13th Ave Ste 108Albany, GA 31701-1333 · (229) 432-8484 · Fax (229) 432-8487
Fax(229) 432-8487
Organization SubpartNo
Authorized OfficialVito John BagnatoOwner/president · (229) 432-8484
Enumeration DateDecember 28, 2011
NPI 1851660443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in GA · 45711
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

420 CHARTER BLVD, Macon, GA 31210

Other Names 1

Other NamePalmyra Surgical, Llc (macon)

Other Identifiers 2

Other09936MS · Mississippi License Number
Medicare UPINB29937GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 14

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

Family Medicine
420 CHARTER BLVD, SUITE 304
MACON, GA 31210
Internal Medicine (Nephrology)
420 CHARTER BLVD, STE 306
MACON, GA 31210
Family Medicine
420 CHARTER BLVD, SUITE 3003
MACON, GA 31210
Internal Medicine
420 CHARTER BLVD, SUITE 405
MACON, GA 31210
Specialist
420 CHARTER BLVD, SUITE 302
MACON, GA 31210
Durable Medical Equipment & Medical Supplies
420 CHARTER BLVD, STE 402
MACON, GA 31210
Surgery
420 CHARTER BLVD, SUITE 320
MACON, GA 31210
Counselor (Professional)
420 CHARTER BLVD, SUITE 205
MACON, GA 31210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851660443, enumerated as an "organization" on December 28, 2011.

The provider is located at 420 CHARTER BLVD SUITE 103 MACON, GA 31210 and the phone number is (229) 432-8484.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.