NPI age
20 years
Enumerated 2006-05-27
● Active Type 2 · Organization
Subpart
Nra Midtown MacOn Georgia Llc
Nra Midtown MacOn Georgia Llc is 1 of 563 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sundock
Vice President
Last NPPES update
2015-07-22
Source: monthly bulk 2026-05
How this organization compares
Across 563 active clinic/center providers in Georgia.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
657 Hemlock St, Suite 100
MacOn, GA 312018329
Mailing address
1550 W. McEwen Drive, Suite 500
Franklin, TN 370671731
Authorized official
Jon M. Sundock
Vice President
📞 6155073307
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Sharelle Farley, FNP-BC Nurse Practitioner NPI 1669184115
- Robbie James, RD. LD Dietitian, Registered NPI 1750464145
- Christy Johnson, NP Nurse Practitioner NPI 1578573762
- Iris Kelly, M.D. Internal Medicine NPI 1134172588
- Mary Schnee, NP-C Nurse Practitioner NPI 1770958589
- Ivy Vickers Nurse Practitioner NPI 1184173965
- Ihab Zaggout, MD Internal Medicine NPI 1487774303
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11D1048766 | CLIA CERTIFICATE OF WAIVE |
| 05 (GA) | 655442926A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Midtown Macon Dialysis Center
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
Subpart of Nra Ii, Llc.
Provyx · Custom healthcare lists
Need all 563 Clinic/Center providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.