Individual provider Active NPI

Paul John Syribeys, M.D.

  • Plastic Surgery Physician
  • Macon, GA
National Provider Identifier
1497718258
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
053185 Issued in GA
Practice address
4030 Riverside Park Blvd
Macon, GA 31210-1365
Phone
(478) 474-2200
Fax
(478) 314-0740
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 053185 GA Primary
Surgery Physician 208600000X 053185 GA
Surgery Physician 208600000X 21093 SC
Plastic and Reconstructive Surgery Physician 2086S0122X 053185 GA

Addresses

Primary practice location

4030 Riverside Park Blvd
Macon, GA 31210-1365

Mailing address

4030 Riverside Park Blvd
Macon, GA 31210-1365
Phone (478) 474-2200

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
I20060810000099 GA Practitioner - Plastic and Reconstructive Surgery 8527061621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Medical University of South Carolina College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians
Renaissance Plastic SurgeryGroup PAC ID 7911994546, 5 clinicians

Practice addresses (Care Compare)

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

4030 Riverside Park Blvd
Macon, GA 31210-1365
Phone (478) 474-2200

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy17
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
053185GAMDPlastic Surgery Physician
21093SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc Surgery CurrentSince May 6, 2017 Accepting new patients
Renaissance Plastic Surgery CurrentSince Feb 1, 2007 Accepting new patients
Morgan County Georgia Hospital Authority Current Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

4030 Riverside Park Blvd
Macon, GA 31210
Phone (478) 474-2200

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

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

120 Byrd Way
Warner Robins, GA 31088
Phone (478) 333-2287

Interoperability endpoints

  • Direct secure messaging: psyribeys433291@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: paulsyribeys@mmc.medalliesdirect.net

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 3

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1497718258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 RIVERSIDE PARK BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101365",
            "telephone_number": "478-474-2200",
            "fax_number": "478-314-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 RIVERSIDE PARK BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101365",
            "telephone_number": "478-474-2200",
            "fax_number": "478-314-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYRIBEYS",
        "first_name": "PAUL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "053185",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "053185",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "21093",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "053185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.