NPI age
9 years
Enumerated 2017-03-24
● Active Type 2 · Organization
Premier Cardiothoracic Surgery, Llc
Premier Cardiothoracic Surgery, Llc is 1 of 188 thoracic surgery (cardiothoracic vascular surgery) organizations in Georgia.
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wanna
M.D.
Last NPPES update
2017-03-24
Source: monthly bulk 2026-05
How this organization compares
Across 188 active thoracic surgery (cardiothoracic vascular surgery) providers in Georgia.
NPI age
9 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-03Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
688 Walnut St, Suite 102
MacOn, GA 312012677
Mailing address
688 Walnut St, Suite 102
MacOn, GA 312012677
Authorized official
Fady Wanna
M.D.
📞 4789551804
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Tracy Davis, PA-C Physician Assistant NPI 1578647277
- Michael Klyachkin, M.D. Surgery NPI 1811976053
- Nancy McLaurin, NP-C Nurse Practitioner NPI 1811276116
- Laura Reed, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) NPI 1194704338
- Melanie Wheeler, NP-C Nurse Practitioner NPI 1710399217
- Carolyn Woodard, LPC Counselor NPI 1003050840
Specialties
-
Thoracic Surgery (Cardiothoracic Vascular Surgery) PrimaryA thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall,...
Practice context
Multi-provider organization. 6 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.