NPI age
14 years
Enumerated 2011-12-28
● Active Type 2 · Organization
Palmyra Surgical, Llc
Palmyra Surgical, Llc is 1 of 1389 surgery organizations in Georgia.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bagnato
Owner/president
Last NPPES update
2011-12-28
Source: monthly bulk 2026-05
How this organization compares
Across 1389 active surgery providers in Georgia.
NPI age
14 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
420 Charter Blvd, Suite 103
MacOn, GA 312104854
Mailing address
810 13th Ave Ste 108
Albany, GA 317011333
Authorized official
Vito John Bagnato, MD
Owner/president
📞 2294328484
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Vito Bagnato, M.D. Surgery NPI 1508853219
- Joseph Burnette, M.D. Surgery NPI 1205823911
- Catherine Butler Counselor NPI 1992053912
- Alan Deese, M.D. Internal Medicine NPI 1134248149
- Valerie Jones-Freeman, MD Internal Medicine NPI 1366558413
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (MS) | 09936 | MISSISSIPPI LICENSE NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Palmyra Surgical, LLC (Macon)
Practice context
Multi-provider organization. 5 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 →
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