MR. GARRY MICHAEL NP-C
NPI 1093070096
Nurse Practitioner - Primary Care in Macon, GA
NPI Status: Active since July 06, 2012
Contact Information
3708 NORTHSIDE DR
MACON, GA
ZIP 31210
Phone: (478) 745-4206
Fax: (478) 254-5303
- Individual
- Male
- Years of Experience 14
- Nurse Practitioner
- Primary Care
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About GARRY MICHAEL
This page provides the complete NPI Profile along with additional information for Garry Michael, a provider established in Macon, Georgia with a medical specialization in Nurse Practitioner, focusing in primary care and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1093070096 assigned on July 2012. The practitioner's primary taxonomy code is 363LP2300X with license number RN093691 (GA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1093070096
- Provider Name
- MR. GARRY MICHAEL NP-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3708 NORTHSIDE DR MACON, GA 31210
- Location Phone
- (478) 745-4206
- Location Fax
- (478) 254-5303
- Mailing Address
- 3708 NORTHSIDE DR MACON, GA 31210
- Mailing Phone
- (478) 745-4206
- Mailing Fax
- (478) 254-5303
- Medical School Name
- OTHER
- Graduation Year
- 2012
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-06-2012
- Last Update Date
- 07-06-2012
- Code Navigator
A nurse practitioner (NP) like Garry Michael is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Primary Care
- Taxonomy Code
- 363LP2300X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN093691
- License State
- GA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Garry Michael is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Garry Michael is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1557511763
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20121024000795
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Closed treatment of broken spine bone with cast or brace
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Fusion of additional segment of spine
Fusion of lower spine bone through abdomen with partial removal of disc
Fusion of spine in lower back with partial removal of spine bone and disc
Injection of drug or substance under skin or into muscle
Injection, methylprednisolone acetate, 40 mg
Insertion of cage or mesh device to spine bone and disc space during spine fusion
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
Placement of stabilizing device to back of 1 spine bone in neck
X-ray of lower and sacral spine, 2-3 views
X-ray of lower and sacral spine, minimum of 4 views
X-ray of middle spine, 2 views
X-ray of pelvis, 1-2 views
X-ray of upper spine, 4-5 views
This procedure involves treating a fractured spine bone without surgery. A cast or brace is used to stabilize the bone, allowing it to heal naturally. This method can limit movement, reduce pain, and promote recovery.
This service was performed 13 times for 13 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 112 times for 104 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 200 times for 171 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 224 times for 152 patientsFusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
This service was performed 14 times for 11 patientsThis procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.
This service was performed 11 times for 11 patientsThis procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.
This service was performed 14 times for 14 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 80 times for 70 patientsMethylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
This service was performed 81 times for 71 patientsSpine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
This service was performed 39 times for 26 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 28 times for 28 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 12 times for 12 patientsThis procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.
This service was performed 14 times for 14 patientsThis procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
This service was performed 22 times for 22 patientsThis procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
This service was performed 16 times for 14 patientsThis procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.
This service was performed 12 times for 12 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
This service was performed 62 times for 49 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
This service was performed 210 times for 184 patientsAn X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.
This service was performed 27 times for 25 patientsAn X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
This service was performed 178 times for 159 patientsAn X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
This service was performed 65 times for 62 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.8 for a new patient copayment and $23.71 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 31210 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.23
- Minimum New Patient Price $53.31
- Maximum New Patient Price $164.04
- Average New Patient Copayment $20.8
- Minimum New Patient Copayment $13.32
- Maximum New Patient Copayment $41.01
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.84
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $133.24
- Average Established Patient Copayment $23.71
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Colorectal Cancer Screening | 2% | 623 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 94% | 212 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 56% | 1183 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 31% | 1050 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Provide Patient Access | 89% | 1183 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 3% | 1183 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Reviews for MR. GARRY MICHAEL NP-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 9 | 3 | 0 | 7 | 0 | 0 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 0 | 7 | 0 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 0 + 7 + 0 + 0 + 1 + 8 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1093070096 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447354154 | MR. GUY DONALD FOULKES MD Individual | Orthopaedic Surgery (Hand Surgery) | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4206 |
| 1457457426 | LYNN BURTON JOHNSON RPH. Individual | Pharmacist | 3708 NORTHSIDE DR MACON, GA 31210 (478) 750-2802 |
| 1689743965 | MR. C EMORY JOHNSON JR. MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4206 |
| 1083820823 | DIANA WILLIAMS OTR/CHT Individual | Occupational Therapist | 3708 NORTHSIDE DR MACON, GA 31210 (478) 750-2801 |
| 1104072453 | MACON OUTPATIENT SURGERY INC Organization | Clinic/Center (Ambulatory Surgical) | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4206 |
| 1407098759 | MS. MELISSA ANDREWS P.A. Individual | Physician Assistant | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4206 |
| 1275898538 | THOMAS C ROGERS IV RNFA Individual | Registered Nurse (Orthopedic) | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4206 |
| 1417204009 | MR. JAMES V. INTORCIA A.T. Individual | Specialist/Technologist (Athletic Trainer) | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4206 |
| 1235487778 | MRS. HEENA P PATEL PT Individual | Physical Therapist | 3708 NORTHSIDE DR MACON, GA 31210 (478) 254-5303 |
| 1073861480 | MILES S ALLEN PTA Individual | Physical Therapy Assistant | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4206 |
| 1376572057 | MISS MARIE KAY DAVIS Individual | Physical Therapist | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4206 |
| 1205816964 | PAUL JEFFREY WHITE PA-C Individual | Physician Assistant (Surgical) | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4206 |
| 1396900163 | MS. JUDITH J. TILLMAN RN, MSN, NP-C Individual | Nurse Practitioner (Family) | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4206 |
| 1437439486 | MRS. KRISTIN E REEVES PT, DPT, Individual | Physical Therapist | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4206 |
| 1053750141 | MR. JACOB THOMAS DELLINGER DPT Individual | Physical Therapist | 3708 NORTHSIDE DR SUITE D MACON, GA 31210 (478) 745-4206 |
| 1275753295 | MRS. LINDA BAUGHMAN BOLT OTR/L, CHT Individual | Occupational Therapist | 3708 NORTHSIDE DR MACON, GA 31210 (478) 254-5362 |
| 1790136836 | MR. RANDALL CLAY CANNON PT Individual | Physical Therapist (Orthopedic) | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4203 |
| 1518319409 | MRS. STEPHANIE REICH KAUZLARICH PT Individual | Physical Therapist (Orthopedic) | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4206 |
| 1992255145 | MRS. LAURA MALCOM NP-C Individual | Nurse Practitioner | 3708 NORTHSIDE DR MACON, GA 31210 (478) 254-5303 |
| 1710068614 | NANCY ANDERSON PHYSICIANS ASSISTANT Individual | Physician Assistant | 3708 NORTHSIDE DR MACON, GA 31210 (478) 745-4206 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093070096, enumerated in the NPI registry as an "individual" on July 06, 2012
The provider is located at 3708 Northside Dr Macon, Ga 31210 and the phone number is (478) 745-4206
The provider's speciality is Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care
The provider has more than 14 years of experience.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.23 with an average copayment of $20.8 for new patient appointments. Established patients should expect a typical charge of $94.84 and an average copayment of 23.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Closed treatment of broken spine bone with cast or brace, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Fusion of additional segment of spine, Fusion of lower spine bone through abdomen with partial removal of disc, Fusion of spine in lower back with partial removal of spine bone and disc, Injection of drug or substance under skin or into muscle, Injection, methylprednisolone acetate, 40 mg, Insertion of cage or mesh device to spine bone and disc space during spine fusion, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back, Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment, Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment, Placement of stabilizing device to back of 1 spine bone in neck, X-ray of lower and sacral spine, 2-3 views, X-ray of lower and sacral spine, minimum of 4 views, X-ray of middle spine, 2 views, X-ray of pelvis, 1-2 views and X-ray of upper spine, 4-5 views.
This NPI record was last updated on July 06, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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