Individual provider Active NPI

Dudley Benjamin Christie III, MD

  • Surgical Critical Care Physician
  • Macon, GA
National Provider Identifier
1073790622
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
060568 Issued in GA
Practice address
840 Pine St Ste 750
Macon, GA 31201-7528
Phone
(478) 633-1458
Fax
(478) 633-5025
NPI assigned
Jan 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 000566 GA
Surgical Critical Care Physician 2086S0102X 060568 GA Primary

Addresses

Primary practice location

840 Pine St Ste 750
Macon, GA 31201-7528

Mailing address

840 Pine St Ste 750
Macon, GA 31201-7528
Phone (478) 633-1458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091110000627 GA Practitioner - General Surgery 6800934902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Mercer University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

120 N Lee St
Forsyth, GA 31029-2122

3351 Northside Dr
Macon, GA 31210-2587
Phone (478) 201-6500

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

840 Pine St
Suite 750
Macon, GA 31201-7528
Phone (478) 633-1458

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux13
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
000566GAMDSurgery Physician
060568GAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc Surgery CurrentSince Sep 8, 2009 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
Taylor Regional Emergency Physicians, LLC Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

120 N Lee St
Ste C
Forsyth, GA 31029
Phone (478) 633-1821

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

770 Pine St
Ste 140
Macon, GA 31201
Phone (478) 633-1821

840 Pine St
Ste 710
Macon, GA 31201
Phone (478) 633-1458

777 Hemlock St
#10
Macon, GA 31201
Phone (478) 633-1146

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

840 Pine St
Ste 750
Macon, GA 31201
Phone (478) 633-1458

1020 Keith Dr
Perry, GA 31069
Phone (478) 224-2209

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

Interoperability endpoints

  • Direct secure messaging: dchristie433599@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1073790622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINE ST STE 750",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017528",
            "telephone_number": "478-633-1458",
            "fax_number": "478-633-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PINE ST STE 750",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017528",
            "telephone_number": "478-633-1458",
            "fax_number": "478-633-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "DUDLEY",
        "middle_name": "BENJAMIN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "000566",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "GA",
            "license": "060568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.