Paige Macky, MD
Individual provider Active NPI Family Medicine Physician · Fort Eisenhower, GA
NPI 1124602842 · NPPES record last updated Jan 9, 2024
Key facts
- NPI
- 1124602842
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 93967 (GA)
- Practice address
- 300 W Hospital Rd
Fort Eisenhower, GA 30905-5741 - Phone
- (618) 979-8208
- NPI assigned
- May 9, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221216001212 | GA | Order and Referring Only - Family Practice |
6709255524 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 93967 | GA | Yes |
Addresses
Primary practice location
300 W Hospital Rd
Fort Eisenhower, GA 30905-5741
Mailing address
520 Brigadier LNDG
Grovetown, GA 30813-3360
Other providers in Fort Eisenhower, GA
- Storm Loffa
- Jordan E Loftin
- Leilani Lopes-Haslam
- Juan Manuel Lopez
- Amy Loser
- Aldrene Ilano Manasan
- Jeremy Joel Mandia
- Nikolai Mashtalov
- Amrutha Elizabeth Mathew
- Daniel Ethan McCall
All providers in Fort Eisenhower, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.