Ga Diagnostic Providers Llc
Sleep Disorder Diagnostic
5400 Riverside Dr Ste 202, Macon
Georgia, 31210-0818
478-787-0059 855-428-4597
Ga Diagnostic Providers Llc is a Sleep Disorder Diagnostic in Macon, Georgia. It is located at 5400 Riverside Dr Ste 202, Macon and it's customer support contact number is 478-787-0059. The authorized person of Ga Diagnostic Providers Llc is Mr. Mark Shane Mobley, RRT who is President of this DME and his contact number is 478-972-8865. Ga Diagnostic Providers Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Ga Diagnostic Providers Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Ga Diagnostic Providers Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Ga Diagnostic Providers Llc |
| Type: | Sleep Disorder Diagnostic |
| Location: | 5400 Riverside Dr Ste 202, Macon,
Georgia, 31210-0818 |
| Phone: | 478-787-0059 |
| Fax: | 855-428-4597 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Mark Shane Mobley |
| Credentials: | RRT |
| Position: | President |
| Contact Number: | 478-972-8865 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1538768296 |
| NPI Enumeration Date: | 22 Oct, 2020 |
| NPI Last Update On: | 21 Feb, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ga Diagnostic Providers Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Sleep Disorder Diagnostic | | | Primary | |
| Multi-Specialty | | | Secondary | |
| Physiological Laboratory | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Ga Diagnostic Providers Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6406369594 | O20250701004043 | Ga Diagnostic Providers Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5400 Riverside Dr Ste 202,
Macon, Georgia |
| Zip: | 31210-0818 |
| Phone Number: | 478-972-8865 |
| Fax Number: | 855-428-4597 |
Patients can reach Ga Diagnostic Providers Llc at
5400 Riverside Dr Ste 202, Macon, Georgia or can
call on customer care at 478-787-0059.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.