Macmed LLC
NPI 1417062613 · General Practice Physician · St Simons Island, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Macmed LLC is a General Practice Physician organization in St Simons Island, GA (NPI 1417062613).
Provider details
- NPI number
- 1417062613
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Judy Rivenbark, Owner(850) 279-4917
- License
- GA051731 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2012-08-29
Frequently asked questions
- What is Macmed LLC's NPI number?
- Macmed LLC's National Provider Identifier (NPI) is 1417062613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Macmed LLC?
- Macmed LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Macmed LLC located?
- Macmed LLC's practice location on file with NPPES is 2927 Demere Rd, St Simons Island, GA 31522-1620.
- What is Macmed LLC's phone number?
- The practice phone number listed in the NPPES registry for Macmed LLC is (912) 638-1999.
- Does Macmed LLC accept Medicare?
- Macmed LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Macmed LLC?
- The authorized official listed on Macmed LLC's NPPES record is Judy Rivenbark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Macmed LLC's NPI active?
- Yes — Macmed LLC's NPI (1417062613) is active in the NPPES registry as of the last update on 2012-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.