1. Home
  2. Directory
  3. Georgia
  4. Macon
  5. Surgery
  6. NPI Profile

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: October 18, 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
Phone(229) 432-8484
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
Open in Google Maps ↗

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

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palmyra Surgical, Llc (macon) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Palmyra Surgical, LLC (macon), which bills Medicare for the services this clinician delivers.

Clinician (1)

Vito Bagnato, M.D.
General Surgery
NPI 1508853219
420 CHARTER BLVD SUITE 103
Macon, GA 31210
(478) 471-8484
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Palmyra Surgical, LLC's NPI number?

The NPI number for Palmyra Surgical, LLC is 1851660443. It was assigned to this organization in the NPPES registry on December 28, 2011. The provider is also known as Palmyra Surgical, LLC (macon).

Where is Palmyra Surgical, LLC located?

Palmyra Surgical, LLC is located at 420 Charter Blvd Suite 103, Macon, GA 31210. The listed phone number is (229) 432-8484.

What is Palmyra Surgical, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Palmyra Surgical, LLC enrolled in Medicare?

Yes. Palmyra Surgical, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palmyra Surgical, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Palmyra Surgical, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Palmyra Surgical, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Palmyra Surgical, 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 Palmyra Surgical, LLC was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.