Organization Active NPI

Dr Bartlett & Dr Esnard P C

  • Specialist
  • Macon, GA
National Provider Identifier
1144279944
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DR BARTLETT & DR ESNARD P C
Practice address
2064 Vineville Ave
Macon, GA 31204-3140
Phone
(478) 745-5035
Fax
(478) 746-8536
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Maria H Bartlett, M.D.NPI 1558311829
Title
Managing Partner
Phone
(478) 745-5035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2064 Vineville Ave
Macon, GA 31204-3140

Mailing address

2064 Vineville Ave
Macon, GA 31204-3140
Phone (478) 745-5035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524000795 GA Part B Supplier - Clinic/Group Practice 3779574074 Receives reassigned benefits from 2 practitioners
Practice locations: Macon, GA

National Provider Directory

National Provider Directory

Locations

2064 Vineville Ave
Macon, GA 31204
Phone (478) 272-3525

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1144279944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043140",
            "telephone_number": "478-745-5035",
            "fax_number": "478-746-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043140",
            "telephone_number": "478-745-5035",
            "fax_number": "478-746-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BARTLETT & DR ESNARD P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "478-745-5035",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.