P Praxis·MD
● Active Type 2 · Organization

Cardiovascular Associates Of MacOn, Pc

Specialist·MacOn, GA· NPI 1629371638 · Enumerated 2010 · 15 years on NPI
Cardiovascular Associates Of MacOn, Pc is 1 of 1881 specialist organizations in Georgia.
NPI age
15 years
Enumerated 2010-12-13
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Noller
Practice Manager
Last NPPES update
2010-12-13
Source: monthly bulk 2026-05

How this organization compares

Across 1881 active specialist providers in Georgia.

NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-12Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
770 Pine St, Suite 480
MacOn, GA 312012173
📞 4787435113
Mailing address
770 Pine St, Suite 480
MacOn, GA 312012173
📞 4787435113

Authorized official

Beverly P Noller
Practice Manager
📞 4787435113

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #018170 taxonomy 174400000X

Identifiers

TypeValueNotes
05 (GA) 00196006A
01 (GA) 1720080443 PHYSICIAN NPI

Practice context

Multi-provider organization. 20 individual providers 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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