COLISEUM PRIMARY HEALTHCARE
NPI 1912947367
Internal Medicine in Macon, GA

NPI Status: Active since June 07, 2006

Contact Information

360 HOSPITAL DR
SUITE 110
MACON, GA
ZIP 31217
Phone: (478) 841-2707

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  • Organization
  • Internal Medicine

About COLISEUM PRIMARY HEALTHCARE

This page provides the complete NPI Profile along with additional information for Coliseum Primary Healthcare, an internist established in Macon, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1912947367 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Coliseum Primary Healthcare operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Coliseum Primary Healthcare. The authorized official of this NPI record is Mickey Pickler (Vp)

NPI
1912947367
Provider Legal Name
COLISEUM HEALTH GROUP, LLC
Other Organization Name
COLISEUM PRIMARY HEALTHCARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
360 HOSPITAL DR SUITE 110 MACON, GA 31217
Location Phone
(478) 841-2707
Mailing Address
360 HOSPITAL DR SUITE 110 MACON, GA 31217
Mailing Phone
(478) 841-2707
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2006
Last Update Date
04-20-2008
Code Navigator

An internist like Coliseum Primary Healthcare is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICKEY PICKLER

Authorized Official Title
VP
Authorized Official Phone
(478) 841-2707

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GRP5184MEDICARE ID-TYPE UNSPECIFIED (04)GACAHABA MEDICARE/ GA MEDIC
=========OTHER (01)GACHAMPUS TRICARE PROGRAM
DA9580MEDICARE ID-TYPE UNSPECIFIED (04)GARAILROAD MEDICARE

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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.
1912947367
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
292218414312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 8 + 4 + 1 + 4 + 3 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1912947367 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437495538MEYER CARDIOLOGY, PC
Organization
Internal Medicine (Cardiovascular Disease)360 HOSPITAL DR BLDG D, STE 200
MACON, GA 31217
(478) 745-5476
1396168951MRS. BRITTANY AMANDA CHAPPELL-STOKES NP-C
Individual
Nurse Practitioner360 HOSPITAL DR BLDG. D, SUITE 200
MACON, GA 31217
(478) 745-5476
1053738054MRS. LAUREN RACHEL LAMBETH NP
Individual
Nurse Practitioner (Primary Care)360 HOSPITAL DR SUITE 110D
MACON, GA 31217
(478) 841-2707
1932458122MRS. SHERRYL HEARN MISINCO NP-C
Individual
Nurse Practitioner (Family)360 HOSPITAL DR BUILDING D SUITE 110
MACON, GA 31217
(478) 841-2707
1578572293IM-PEDS PRIMARY CARE LLC
Organization
Internal Medicine360 HOSPITAL DR BLDG D SUITE110
MACON, GA 31217
(478) 841-2707
1699886754BUCHHAMMER HEALTH SYSTEMS
Organization
Internal Medicine360 HOSPITAL DR BLDG D SUITE 120
MACON, GA 31217
(478) 746-9550
1023003993MRS. MARY E MCKINLEY MD
Individual
Internal Medicine360 HOSPITAL DR SUITE 110
MACON, GA 31217
(478) 841-2707
1124576558PREMISE HEALTH OF GEORGIA MEDICAL, P.C.
Organization
Clinic/Center (Multi-Specialty)360 HOSPITAL DR BUILDING D, SUITE 130
MACON, GA 31217
(912) 687-3100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912947367, enumerated in the NPI registry as an "organization" on June 07, 2006

The provider is located at 360 Hospital Dr Suite 110 Macon, Ga 31217 and the phone number is (478) 841-2707

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare, Medicaid, Tricare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 07, 2006. 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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