PREMIER CARDIOTHORACIC SURGERY, LLC
NPI 1902337637
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Macon, GA

Active since March 24, 2017
688 WALNUT ST, SUITE 102, MACON, GA 31201(478) 955-1804 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Premier Cardiothoracic Surgery, Llc NPPES

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

PREMIER CARDIOTHORACIC SURGERY, LLC (NPI 1902337637) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Macon, Georgia and active in the NPI registry since March 2017. The organization lists Fady Wanna, M.d., as its authorized official.

NPPES Registry Identity

NPI1902337637
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NamePREMIER CARDIOTHORACIC SURGERY, LLC
Location Address688 WALNUT ST, SUITE 102Macon, GA 31201-2677
Mailing Address688 Walnut St, Suite 102Macon, GA 31201-2677 · (478) 955-1804
Organization SubpartNo
Authorized OfficialFady WannaM.d. · (478) 955-1804
Enumeration DateMarch 24, 2017
NPI 1902337637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in GA · 043813
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

688 WALNUT ST, Macon, GA 31201

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

Other Providers at the Same Location NPPES 10

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

Surgery (Vascular Surgery)
688 WALNUT ST, STE 200
MACON, GA 31201
Physician Assistant (Surgical)
688 WALNUT ST, SUITE 200
MACON, GA 31201
Thoracic Surgery (Cardiothoracic Vascular Surgery)
688 WALNUT ST, SUITE 200
MACON, GA 31201
Counselor (Professional)
688 WALNUT ST, 202
MACON, GA 31201
Counselor (Professional)
688 WALNUT ST, 202
MACON, GA 31201
Radiology (Vascular & Interventional Radiology)
688 WALNUT ST, SUITE 201
MACON, GA 31201
Nurse Practitioner (Family)
688 WALNUT ST, STE 200
MACON, GA 31201
Clinic/Center (Ambulatory Surgical)
688 WALNUT ST, 201
MACON, GA 31201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902337637, enumerated as an "organization" on March 24, 2017.

The provider is located at 688 WALNUT ST SUITE 102 MACON, GA 31201 and the phone number is (478) 955-1804.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.