Individual provider Active NPI

Douglas Alan Brewer, MD

  • Colon & Rectal Surgery Physician
  • Macon, GA
National Provider Identifier
1194727651
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
038696 Issued in GA
Practice address
250 Martin Luther King Jr Blvd
Macon, GA 31201-3490
Phone
(478) 301-4111
Fax
(478) 301-5812
NPI assigned
Aug 15, 2005
Reactivated
Apr 10, 2006
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 038696 GA Primary

Addresses

Primary practice location

250 Martin Luther King Jr Blvd
Macon, GA 31201-3490

Mailing address

250 Martin Luther King Jr Blvd
Macon, GA 31201-3490
Phone (478) 301-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040616000716 GA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6204825094 Reassigns benefits to 1 organization
I20220126000341 TN Practitioner - Colorectal Surgery (Proctology) 6204825094 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038696GAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Nov 8, 2021 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Nov 8, 2021 Accepting new patients
The Corporation of Mercer University CurrentSince Apr 19, 2023 Accepting new patients
The Corporation of Mercer University CurrentSince Apr 19, 2023 Accepting new patients

Locations

1550 College St
Macon, GA 31207
Phone (478) 301-2600

250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362

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

1751 Gunbarrel Rd
Ste 101
Chattanooga, TN 37421
Phone (423) 778-8558

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

979 E 3rd St
Ste C825
Chattanooga, TN 37403
Phone (423) 778-4830

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1194727651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MARTIN LUTHER KING JR BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013490",
            "telephone_number": "478-301-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MARTIN LUTHER KING JR BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013490",
            "telephone_number": "478-301-4111",
            "fax_number": "478-301-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "deactivation_date": "2006-04-10",
        "reactivation_date": "2006-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "038696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.