NPIMap

Individual provider Active NPI

Evelyn Ogburn Bickley, M.D.

  • Internal Medicine Physician
  • Macon, GA
National Provider Identifier
1437248697
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
060705 Issued in GA
Practice address
330 Hospital Dr
BLDG C, Ste 200
Macon, GA 31217-3899
Phone
(478) 745-1191
Fax
(478) 752-3869
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 060705 GA Primary

Addresses

Primary practice location

330 Hospital Dr
BLDG C, Ste 200
Macon, GA 31217-3899

Mailing address

330 Hospital Dr
BLDG C, Ste 200
Macon, GA 31217-3899
Phone (478) 745-1191

Other identifiers 1

IdentifierTypeStateIssuer
045476809AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081001000051 GA Practitioner - Internal Medicine 9537237730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine Associates, P.C.Group PAC ID 7911993191, 9 clinicians

Practice addresses (Care Compare)

330 Hospital Dr
Suite 200
Macon, GA 31217-8034
Phone (478) 745-1191

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Macon, GA, CCN 117152
  • Amedisys Home Health of Macon Home health agency, Macon, GA, CCN 117093
  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201
  • Carlyle Place Nursing home, Macon, GA, CCN 115680

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
060705GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates, P.C. Internal Medicine CurrentSince Sep 1, 2008 Accepting new patients

Locations

330 Hospital Dr
Bldg C
Macon, GA 31217
Phone (478) 742-2180

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

330 Hospital Dr
Ste 200
Macon, GA 31217
Phone (478) 745-1191

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBBAAA
  • Direct secure messaging: evelyn.bickley@imapc.eclinicaldirectplus.com

Organizations & group practices 1

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 8

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1437248697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HOSPITAL DR",
            "address_2": "BLDG C, STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173899",
            "telephone_number": "478-745-1191",
            "fax_number": "478-752-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HOSPITAL DR",
            "address_2": "BLDG C, STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173899",
            "telephone_number": "478-745-1191",
            "fax_number": "478-752-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKLEY",
        "first_name": "EVELYN",
        "middle_name": "OGBURN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "060705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045476809A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.