NPI age
14 years
Enumerated 2011-11-08
● Active Type 2 · Organization
Middle Georgia Heart And Vascular Center, Llc
Middle Georgia Heart And Vascular Center, Llc is 1 of 952 internal medicine organizations in Georgia.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Howard
Office Manager
Last NPPES update
2021-01-21
Source: monthly bulk 2026-05
How this organization compares
Across 952 active internal medicine providers in Georgia.
NPI age
14 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-11Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
6070 Lakeside Commons Dr
MacOn, GA 312105778
Mailing address
6070 Lakeside Commons Dr
MacOn, GA 312105778
Authorized official
Judy Howard
Office Manager
📞 4782542644
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Serwah Amponsah, FNP Nurse Practitioner NPI 1194350546
- Rallie Cogburn, PA Physician Assistant NPI 1548265549
- Morgan Dowd Nurse Practitioner NPI 1336791292
- Morgan Fox, NP Nurse Practitioner NPI 1801510904
- Susannah Goodman, NP Nurse Practitioner NPI 1598028060
- Heather Hall, NP Nurse Practitioner NPI 1740849082
- Audra Johnson, NP Nurse Practitioner NPI 1699536896
- William Knopf, MD Internal Medicine NPI 1922007541
- Stephanie Van Dine Nurse Practitioner NPI 1588153498
Specialties
-
Internal Medicine PrimaryAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
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