NPI age
20 years
Enumerated 2006-05-18
● Active Type 2 · Organization
MacOn Northside Hospital, Llc
MacOn Northside Hospital, Llc is 1 of 309 general acute care hospital organizations in Georgia.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cross
Vp Government Reimbursement
Last NPPES update
2024-02-26
Source: monthly bulk 2026-05
How this organization compares
Across 309 active general acute care hospital providers in Georgia.
NPI age
20 years
↑ 2 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
400 Charter Blvd
MacOn, GA 312104831
Mailing address
400 Charter Blvd
MacOn, GA 312104831
Authorized official
Robert C Cross
Vp Government Reimbursement
📞 4702713401
Individual providers at this organization
15 individual providers on file at this primary practice address.
- Adebola Adeogun, MD Emergency Medicine NPI 1710939194
- Patricia Baldwin, PA-C Physician Assistant NPI 1407266968
- Cheryl Brett, RDN, LDN Nutritionist NPI 1669049664
- Martha Burnham, RD Dietitian, Registered NPI 1992767990
- Jennifer Dorough, NP Nurse Practitioner NPI 1295219939
- James Gay Registered Nurse NPI 1952996365
- Victoria Grabowski, CST, CSFA, AA-S Surgery NPI 1821976747
- Crystal Johstono, DNP, FNP-C, RN Nurse Practitioner NPI 1376265314
- Martha Lennington, PA Physician Assistant NPI 1104326271
- Mary Oliver, MD Anesthesiology NPI 1447228382
- Emelina Perez, MS, RDN, LDN Dietitian, Registered NPI 1629840301
- Chuc Pham, MD Family Medicine NPI 1972678530
- Tabetha Renner, PA-AC Anesthesiologist Assistant NPI 1487810610
- Nathan Stokes, M.D. Emergency Medicine NPI 1518263284
- Elisha Tribble, ARNP Nurse Practitioner NPI 1992933329
Specialties
-
General Acute Care Hospital PrimaryAn acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NY) | 02718909 | |
| 05 (FL) | 911882900 | |
| 01 (GA) | 3525 | BLUE CROSS |
| 05 (NY) | 141351CF | |
| 05 (MI) | 025706 | |
| 01 | 166206700 | DEPT OF LABOR |
| 05 (LA) | 1729221 | |
| 05 (GA) | 00295358A | |
| 05 (WI) | 82604500 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Piedmont Macon North Hospital
Practice context
Multi-provider organization. 15 individual providers on file at this primary address.
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- 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.