Coliseum Primary Care Services, LLC
Coliseum Primary Care Services, LLC is a healthcare organization registered as Internal Medicine Physician in Macon, GA, holding Type 2 (organization) NPI 1629018023 since 2006. The authorized official on file is Kristine Turner, Controller.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629018023 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Coliseum Primary Care Services, LLC |
| Other name | <Unavail> |
| Practice address | 380 HOSPITAL DR, BLDG A SUITE 370, Macon, GA, 31217 |
| Phone | 4784744343 |
| Fax | 8446642283 |
| Enumeration date | 2006-06-07 |
| Last updated in NPPES | 2016-11-01 |
Authorized official
| Name | Kristine Turner |
|---|---|
| Title | Controller |
| Phone | 8438567938 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE1497 | Other | GA | RAILROAD MEDICARE |
| 195942266A | Medicaid | GA | — |
Copy-ready billing details
Provider: Coliseum Primary Care Services, LLC NPI: 1629018023 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 380 HOSPITAL DR, BLDG A SUITE 370, Macon, GA, 31217
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1841286978 | Harvey Roddenberry | Individual | Obstetrics & Gynecology Physician | Macon, GA |
| 1568458289 | William Shirley | Individual | Obstetrics & Gynecology Physician | Macon, GA |
| 1992791628 | John Roddenberry | Individual | Obstetrics & Gynecology Physician | Macon, GA |
| 1871584417 | Lester Leggette | Individual | Anesthesiologist Assistant | Macon, GA |
| 1972584530 | Alpha Watson | Individual | Pulmonary Disease Physician | Macon, GA |
| 1235110891 | David Mckinney | Individual | Anesthesiology Physician | Macon, GA |
| 1023098977 | Angela Jenkins | Individual | Certified Registered Nurse Anesthetist | Macon, GA |
| 1598738502 | Tanya Williams | Individual | Anesthesiologist Assistant | Macon, GA |
Verify this record
Cross-check NPI 1629018023 against the authoritative CMS record: view Coliseum Primary Care Services, 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
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Where is Coliseum Primary Care Services, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-11-01.