Carley S Ebanks, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

035619 Issued in GA

Practice address

610 3Rd St Ste 202
Macon, GA 31201

Phone

(478) 464-2600

Fax

(478) 803-4281

NPI assigned

Jun 8, 2006

Last updated

May 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Gastroenterology

Education

State University of New York at Buffalo School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Associates of Central Ga LLCGroup PAC ID 6901702059, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150
• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
• Putnam General Hospital Hospital, Eatonton, GA, CCN 111313

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carley.ebanks@gaocg.eclinicaldirectplus.com
• Direct secure messaging: carley.ebanks@oconeeregional.gadirect.net
• Direct secure messaging: cebanks433634@carolinashealthcaresystem.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gastroenterology Associates of Central Ga, LLC

  • Specialist
  • Macon, GA
  • NPI 1528192176
  Medicare reassignment Care Compare group NPD
• Swallowing Specialists of Central Georgia, LLC

  • Speech-Language Pathologist
  • Macon, GA
  • NPI 1548757560
  NPD (past)
• Synergetic Healings LLC

  • Clinical Social Worker
  • Gray, GA
  • NPI 1831967884
  NPD (past)

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

• Navicent Health Baldwin, Inc

  dba Atrium Health Navicent Baldwin

  • General Acute Care Hospital
  • Milledgeville, GA
  • NPI 1841701562
  Care Compare affiliation
• Putnam General Hospital Authority

  dba Putnam General Hospital

  • Critical Access Hospital
  • Eatonton, GA
  • NPI 1386670834
  Care Compare affiliation
• The Medical Center of Central Georgia Inc

  dba Atrium Health Navicent The Medical Center

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1558301341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 3RD ST STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013293",
            "telephone_number": "478-464-2600",
            "fax_number": "478-803-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 3RD ST STE 202",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-464-2600",
            "fax_number": "478-803-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBANKS",
        "first_name": "CARLEY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "035619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000506569A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Clack Eason, MD
• Lindsey Eason, LMFT
• Jessi Easterwood
• Eastview Healthcare, LLC (Eastview Nursing Center)
• Faye Eaton, MD
• Bradley Alan Ebel, DO
• Heather Eberlein, FNP-C
• Jordyn Ann Ebert, DMD
• Brooke Eck
• Eclat Anesthesia

• Gastroenterology Physician in Macon, GA
• Providers in Macon, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.

Verify at the official NPI Registry.