P Praxis·MD
● Active Type 2 · Organization

MacOn Medical Clinic, Llc.

Clinic/Center·MacOn, GA· NPI 1063823482 · Enumerated 2014 · 12 years on NPI
MacOn Medical Clinic, Llc. is 1 of 655 clinic/center organizations in Georgia.
NPI age
12 years
Enumerated 2014-05-20
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rahman
Provider/physician/owner
Last NPPES update
2014-05-20
Source: monthly bulk 2026-05

How this organization compares

Across 655 active clinic/center providers in Georgia.

NPI age
12 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 15% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-05Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
3350 Northside Dr
MacOn, GA 312102504
📞 4784052121fax 4784050114
Mailing address
3350 Northside Dr
MacOn, GA 312102504
📞 4784052121fax 4784050114

Authorized official

Mohammad Mohabubur Rahman, M.D.
Provider/physician/owner
📞 4784052121

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #044065 taxonomy 261QP2300X
  • Clinic/Center
    Definition to come...
    GA license #044065 taxonomy 261QH0100X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
    GA license #044065 taxonomy 261QM2500X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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