Individual provider Active NPI

Paul Stephen Dale, MD

  • Surgical Oncology Physician
  • Macon, GA
National Provider Identifier
1427095165
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
033063 Issued in GA
Practice address
800 1St St Ste 240
Macon, GA 31201-8308
Phone
(478) 633-6900
Fax
(478) 633-2175
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 033063 GA Primary

Addresses

Primary practice location

800 1St St Ste 240
Macon, GA 31201-8308

Mailing address

800 1St St Ste 240
Macon, GA 31201-8308
Phone (478) 633-6900

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141020002773 GA Practitioner - Surgical Oncology 1850357823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
University of Alabama School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

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

800 1St St
Suite 240
Macon, GA 31201-8308
Phone (478) 633-6900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy35
Melanoma (skin cancer) excision18
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc CurrentSince Oct 1, 2014 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
Southeastern Surgical Oncology Surgical Oncology Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

840 Pine St
Ste 760
Macon, GA 31201
Phone (478) 633-6090

2490 Riverside Dr
Ste B
Macon, GA 31204
Phone (478) 633-6633

770 Pine St
Ste 140
Macon, GA 31201
Phone (478) 633-1821

800 1st St
Ste 240
Macon, GA 31201
Phone (478) 633-6090

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

Interoperability endpoints

  • Direct secure messaging: paul.dale@hscg.cernerdirect.com
  • Direct secure messaging: pdale433536@carolinashealthcaresystem.direct-ci.com

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.

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1427095165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 1ST ST STE 240",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018308",
            "telephone_number": "478-633-6900",
            "fax_number": "478-633-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 1ST ST STE 240",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018308",
            "telephone_number": "478-633-6900",
            "fax_number": "478-633-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "PAUL",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "GA",
            "license": "033063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.