Active NPI
Macey Diana Elks, NP
- Gerontology Nurse Practitioner
- Warner Robins, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- NP224167
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN224167 | GA | MD | Acute Care Nurse Practitioner |
| NP224167 | GA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Orthopedic Surgery & Sports Medicine, P.C. | Current | Accepting new patients | |
| Houston Orthopedic Surgery & Sports Medicine, P.C. | Current | 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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Orthopaedic Surgery Physician
- Warner Robins, GA
- NPI 1205866605
-
- Durable Medical Equipment & Medical Supplies
- Perry, GA
- NPI 1134563042
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.