Individual provider Active NPI

Cheyanne Durrett, PA-C

  • Physician Assistant
  • Macon, GA
National Provider Identifier
1154215390
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PENDING Issued in GA
Practice address
308 Coliseum Dr Ste 200
Macon, GA 31217-3861
Phone
(478) 742-2180
NPI assigned
Jun 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PENDING GA Primary

Addresses

Primary practice location

308 Coliseum Dr Ste 200
Macon, GA 31217-3861

Mailing address

308 Coliseum Dr Ste 200
Macon, GA 31217-3861
Phone (478) 742-2180

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024002442 GA Practitioner - Physician Assistant 1850889379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

308 Coliseum Dr
Suite 200
Macon, GA 31217-3859

3330 Cumberland Blvd SE
Suite 650
Atlanta, GA 30339-8124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13162GAMDPharmacist
PENDINGGAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Physicians of Georgia, P.C. CurrentSince Sep 2, 2025 Accepting new patients

Locations

910 N 5th St
Cordele, GA 31015
Phone (229) 271-4652

308 Coliseum Dr
Ste 200
Macon, GA 31217
Phone (478) 314-0784

116 Tommy Stalnaker Dr
#A
Warner Robins, GA 31088
Phone (478) 742-4847

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1154215390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 COLISEUM DR STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173861",
            "telephone_number": "478-742-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 COLISEUM DR STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173861",
            "telephone_number": "478-742-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRETT",
        "first_name": "CHEYANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.