Macmed LLC

General Practice Physician · St Simons Island, GA

Organization Active NPI

NPI number 1417062613

Practice location

2927 Demere Rd
Atten: Dr Andrew T McRae
St Simons Island, GA 31522-1620
Phone
(912) 638-1999

Open in Google Maps

NPI record

NPI
1417062613
Entity type
Organization (Type 2)
Enumeration date
August 20, 2006
Last updated
August 29, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X GA11411 GA
Family Medicine Physician 207Q00000X GA051731 GA
Hospitalist Physician 208M00000X GA11411 GA

Mailing address

1606 Reynolds St
Brunswick, GA 31520-6731
Phone
(850) 279-4917
Fax
(850) 279-4917

Authorized official

Name
Judy S Rivenbark, M.D.
Title
Owner
Phone
(850) 279-4917

About Macmed LLC

Macmed LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 2927 Demere Rd, Atten: Dr Andrew T McRae, St Simons Island, GA 31522-1620. The NPI number 1417062613 was assigned on August 20, 2006 and the record was last updated on August 29, 2012.

Macmed LLC lists 3 licenses in the registry: #GA11411 (GA) for General Practice Physician; #GA051731 (GA) for Family Medicine Physician; #GA11411 (GA) for Hospitalist Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Judy S Rivenbark, M.D., Owner.

Frequently asked questions

What is the NPI number of Macmed LLC?

The NPI number is 1417062613.

What is the phone number of Macmed LLC?

The phone number listed for the practice location is (912) 638-1999.

Where is Macmed LLC located?

2927 Demere Rd, Atten: Dr Andrew T McRae, St Simons Island, GA 31522-1620.

What is the taxonomy code for Macmed LLC?

The primary taxonomy code is 208D00000X – General Practice Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.