Georgia Cvs Pharmacy LLC
Georgia Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Macon, GA, holding Type 2 (organization) NPI 1104251834 since 2013. The authorized official on file is Susan Colbert, Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104251834 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Georgia Cvs Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 1544 BASS RD, Macon, GA, 31210 |
| Phone | 4784714497 |
| Enumeration date | 2013-09-12 |
| Last updated in NPPES | 2014-02-17 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director, Payer Relations |
| Phone | 4017651500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | GA |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | GA |
| 333600000X | Pharmacy | Primary | — | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164021 | Other | GA | NCPDP |
| 003140568A | Medicaid | GA | — |
Copy-ready billing details
Provider: Georgia Cvs Pharmacy LLC NPI: 1104251834 Taxonomy: 333600000X (Pharmacy) Address: 1544 BASS RD, Macon, GA, 31210
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205095437 | Latonya Stephens | Individual | Family Nurse Practitioner | Macon, GA |
| 1477804839 | Tawanda Whidby | Individual | Family Nurse Practitioner | Macon, GA |
| 1154868404 | Nikisha Baker | Individual | Family Nurse Practitioner | Macon, GA |
| 1982261939 | Novlette Mcfarlane Smith | Individual | Family Nurse Practitioner | Macon, GA |
| 1124677893 | Christina Prince | Individual | Family Nurse Practitioner | Macon, GA |
| 1497350904 | Anthony Irlik | Individual | Pharmacist | Macon, GA |
| 1902402118 | Camille Lindo-Wilson | Individual | Family Nurse Practitioner | Macon, GA |
| 1811668197 | Julie Ott | Individual | Family Nurse Practitioner | Macon, GA |
Verify this record
Cross-check NPI 1104251834 against the authoritative CMS record: view Georgia Cvs Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Georgia Cvs Pharmacy LLC?
Who is the authorized official for Georgia Cvs Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-02-17.