Individual provider Active NPI

Raymond Root, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1366290843
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP277768 Issued in GA
Practice address
5791 Zebulon Rd Ste a
Macon, GA 31210-2397
Phone
(478) 787-0410
NPI assigned
May 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP277768 GA Primary

Addresses

Primary practice location

5791 Zebulon Rd Ste a
Macon, GA 31210-2397

Mailing address

5791 Zebulon Rd Ste a
Macon, GA 31210-2397
Phone (478) 787-0410

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
I20240718004152 GA Practitioner - Nurse Practitioner 9234675828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hometown Healthcare of Byron, LLCGroup PAC ID 7315336807, 2 clinicians
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

103 Moseley Rd
Byron, GA 31008-7148
Phone (478) 654-5327

2410 Ingleside Ave
Macon, GA 31204-2036
Phone (678) 695-6960

Hospital & facility affiliations

  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP277768GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Aug 6, 2025 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Feb 1, 2026 Accepting new patients
Hometown Healthcare of Byron LLC Family CurrentSince Jul 8, 2024 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

110 Jailhouse Aly
Byron, GA 31008
Phone (478) 508-0957

103 Moseley Rd
Byron, GA 31008
Phone (478) 654-5327

2410 Ingleside Ave
Macon, GA 31204
Phone (478) 405-8874

5791 Zebulon Rd
Ste A
Macon, GA 31210
Phone (478) 787-0410

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGHFCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1366290843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5791 ZEBULON RD STE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102397",
            "telephone_number": "478-787-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5791 ZEBULON RD STE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102397",
            "telephone_number": "478-787-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "RAYMOND",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP277768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.