Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mary Grace Ricio Pancho , RPT

Physician • Macon, GA

Active NPI 1003520156 Individual Practitioner Female Practitioner
Practice location in NPPES

350 Hospital Dr
Macon, GA 312173838

Call 4787657000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

350 Hospital Dr

Macon, GA 312173838

Telephone 4787657000
Organization at the Same NPPES Address or Phone
Ocmulgee Medical Pathology Association Inc Facility NPI 1093787657

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-12
Clinic/Center - Physical Therapy Primary Specialty

NUCC Taxonomy Code: 261QP2000X

License # reported to NPPES GA PT013185

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

22 listed
NPI 1427571827

Doctor of Medicine (M.D.)

Crystal Ayer , NP

Nurse Practitioner

NPI 1558901264

Nurse Practitioner

Dr. David Carroll , MD

Radiology - Diagnostic Radiology

NPI 1770532038

Doctor of Medicine (M.D.)

Dr. Rayonda Coleman , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1154844363

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

Dr. Daniel Hampton , MD

Radiology - Diagnostic Radiology

NPI 1972980795

Doctor of Medicine (M.D.)

Dr. Deepak Kadiyala , MD

Internal Medicine - Critical Care Medicine

NPI 1417129610

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated January 12, 2023.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from February 2023 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1003520156
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2023
Last Update: January 12, 2023
Sole Proprietor: Yes

Mailing Address

102 Lasso Dr

Warner Robins, GA 310886646

Phone: 7064594184

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.