GA DIAGNOSTIC PROVIDERS LLC – Sleep Disorder Diagnostic Clinic/Center, NPI 1538768296

GA DIAGNOSTIC PROVIDERS LLC is a healthcare provider. based in Macon, Georgia. specializing in Sleep Disorder Diagnostic Clinic/Center. The NPI Number for GA DIAGNOSTIC PROVIDERS LLC is 1538768296

Main info

Organization
Name
GA DIAGNOSTIC PROVIDERS LLC
NPI
1538768296
Phone
(478) 787-0059
Address
5400 RIVERSIDE DR STE 202
Authorized Official
MR. MARK SHANE MOBLEY PRESIDENT RRT
Enumeration Date
22 October 2020
Last Update Date
21 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for GA DIAGNOSTIC PROVIDERS LLC

  • 5400 RIVERSIDE DR STE 202

    MACON, GA 312100818

    Phone: (478) 787-0059

    Fax: (855) 428-4597

    Type: Location

  • 100 Tommy Stalnaker Dr Ste A

    Warner Robins, GA 310881403

    Phone: (478) 787-0059

    Fax: (855) 428-4597

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20250701004043OClinic/Group PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31210)

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Reviews

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Frequently asked questions

What unique ID ties claims to GA DIAGNOSTIC PROVIDERS LLC?
NPI 1538768296 is assigned to GA DIAGNOSTIC PROVIDERS LLC under the national enumeration system.
Is GA DIAGNOSTIC PROVIDERS LLC active in the national directory?
GA DIAGNOSTIC PROVIDERS LLC's public NPI profile is in an active state.
Can you summarize GA DIAGNOSTIC PROVIDERS LLC's specialty in plain language?
Clinically, the directory lists GA DIAGNOSTIC PROVIDERS LLC with Sleep Disorder Diagnostic Clinic/Center. Clinical services aligned with this taxonomy classification.
What location metadata exists for GA DIAGNOSTIC PROVIDERS LLC?
The page summarizes Macon, Georgia for GA DIAGNOSTIC PROVIDERS LLC; expand the address list for detail.
Is GA DIAGNOSTIC PROVIDERS LLC a real provider?
This page reflects official NPPES data for NPI 1538768296. Always confirm identity and privileges with the practice and licensing boards.

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