Paul R. Phelps, Sr, M.D., PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

011990 Issued in GA

Legal business name

PAUL R. PHELPS, SR, M.D., PC

Practice address

818 Forsyth Street
Macon, GA 31201-2139

Phone

(478) 633-7010

Fax

(478) 633-7585

NPI assigned

Apr 23, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tammy J Brickle

Title

Billing Agent

Phone

(478) 254-5943

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1013234541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 28170",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312218170",
            "telephone_number": "478-254-5943",
            "fax_number": "478-254-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 FORSYTH STREET",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012139",
            "telephone_number": "478-633-7010",
            "fax_number": "478-633-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R. PHELPS, SR, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "BRICKLE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "478-254-5943"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "011990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "011990",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00071398A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urmi Rajesh Patel
• Vijay H Patel
• Vishal N Patel
• Emma Patterson Nardone, LMFT
• Collin Patterson, DO
• Ashley Michelle Paul
• Lindsay Paul, NP
• Anuradha Pavuluri, MD
• Veera Pavuluri, MD
• Hossaina Paykargar, MD

• Emergency Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.