PHYSICIAN CONSULTANTS OF GEORGIA
NPI 1962762708
Internal Medicine - Nephrology in Macon, GA

Active since May 28, 2012
1425 GEORGIA AVE STE 201A, MACON, GA 31201(478) 250-1325 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 19, 2020, Apr 24, 2019 (2 updates tracked since 2019).

About Physician Consultants Of Georgia NPPES

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

PHYSICIAN CONSULTANTS OF GEORGIA (NPI 1962762708) is a healthcare organization registered as a nephrology in Macon, Georgia and active in the NPI registry since May 2012. The organization maintains a secondary practice location in Macon and lists Reuben Kristian Ellis, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1962762708
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePHYSICIAN CONSULTANTS OF GEORGIA
Location Address1425 GEORGIA AVE STE 201AMacon, GA 31201-6546
Mailing AddressPo Box 6612Macon, GA 31208-6612 · (478) 250-1325 · Fax (478) 254-6860
Organization SubpartNo
Authorized OfficialReuben Kristian EllisOwner/physician · (404) 877-8115
Enumeration DateMay 28, 2012
Last NPPES UpdateNovember 19, 20202 updates tracked since enumeration
NPPES CertifiedNovember 19, 2020
NPI 1962762708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in GA · 055819
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1425 GEORGIA AVE STE 201A, Macon, GA 31201

Secondary Practice Location 1

Location 11445 Georgia Ave, Suite 3Macon, GA 31201-7610 · Phone (478) 250-1325 · Fax (478) 250-1330

Other Identifiers 1

Medicaid003126259AGA

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 2

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

Internal Medicine (Nephrology)
1425 GEORGIA AVE STE 201A
MACON, GA 31201
Nurse Practitioner (Family)
1425 GEORGIA AVE STE 201A
MACON, GA 31201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962762708, enumerated as an "organization" on May 28, 2012.

The provider is located at 1425 GEORGIA AVE STE 201A MACON, GA 31201 and the phone number is (478) 250-1325.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

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