Individual provider Active NPI

Macey Diana Elks, NP

  • Gerontology Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1356854202
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
NP224167 Issued in GA
Practice address
3051 Watson Blvd Ste 525
Warner Robins, GA 31093
Phone
(478) 953-4563
Fax
(478) 953-4564
NPI assigned
Nov 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NP224167 GA Primary
Nurse Practitioner 363L00000X RN224167 GA
Acute Care Nurse Practitioner 363LA2100X RN224167 GA

Addresses

Primary practice location

3051 Watson Blvd Ste 525
Warner Robins, GA 31093

Mailing address

3051 Watson Blvd Ste 525
Warner Robins, GA 31093-8556
Phone (478) 953-4563

Other practice location 1

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

Other practice location 2

688 Walnut St
Macon, GA 31201-2677
Phone (478) 290-1465

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
I20180125001251 GA Practitioner - Nurse Practitioner 5294094918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians

Practice addresses (Care Compare)

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN224167GAMDAcute Care Nurse Practitioner
NP224167GAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Orthopedic Surgery & Sports Medicine, P.C. CurrentSince Jul 18, 2018 Accepting new patients
Houston Orthopedic Surgery & Sports Medicine, P.C. CurrentSince Jul 18, 2018 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

1013 Main St
Perry, GA 31069
Phone (478) 953-4563

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

3051 Watson Blvd
Ste 525
Warner Robins, GA 31093
Phone (478) 953-4563

3051 Watson Blvd
Warner Robins, GA 31093
Phone (478) 953-4563

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.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1356854202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 WATSON BLVD STE 525",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938556",
            "telephone_number": "478-953-4563",
            "fax_number": "478-953-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 WATSON BLVD STE 525",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31093",
            "telephone_number": "478-953-4563",
            "fax_number": "478-953-4564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-633-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "688 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012677",
            "country_code": "US",
            "telephone_number": "478-290-1465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKS",
        "first_name": "MACEY",
        "middle_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "NP224167",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN224167",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN224167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.