NPIMap

Individual provider Active NPI

Obinnaya Emerole, M.D.

  • Specialist
  • Macon, GA
National Provider Identifier
1558314252
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
041550 Issued in GA
Practice address
654 1St St
Macon, GA 31201-2851
Phone
(478) 738-9443
Fax
(478) 738-9750
NPI assigned
May 17, 2006
Last updated
Feb 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 041550 GA Primary

Addresses

Primary practice location

654 1St St
Macon, GA 31201-2851

Mailing address

PO Box 6135
Macon, GA 31208-6135
Phone (478) 738-9443

Other identifiers 1

IdentifierTypeStateIssuer
000716493DMedicaidGA

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
I20041129000499 GA Practitioner - Cardiovascular Disease (Cardiology) 6305801697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Heart Physicians LLCGroup PAC ID 0345204418, 8 clinicians
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

105 Avera Dr
Fort Valley, GA 31030-5007
Phone (478) 738-9443

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

1710 Watson Blvd
Warner Robins, GA 31093-3632
Phone (478) 738-9443

540 W Thomas St
Suite E
Milledgeville, GA 31061-2745
Phone (478) 738-9443

654 1St St
Macon, GA 31201-2851
Phone (478) 738-9443

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041550GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc CurrentSince Aug 1, 2006 Accepting new patients
Georgia Heart Physicians LLC CurrentSince Aug 1, 2000 Accepting new patients
Macon Electrophysiology Associates Past Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

105 Avera Dr
Fort Valley, GA 31030
Phone (478) 633-1458

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

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

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

654 1st St
Macon, GA 31201
Phone (478) 738-9443

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

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

800 1st St
Ste 330
Macon, GA 31201
Phone (912) 738-9443

540 W Thomas St
Ste E
Milledgeville, GA 31061
Phone (478) 738-9443

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

1710 Watson Blvd
Warner Robins, GA 31093
Phone (478) 394-6061

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHAAAA
  • Direct secure messaging: obinnaya.emerole@ghp.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1558314252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6135",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312086135",
            "telephone_number": "478-738-9443",
            "fax_number": "478-738-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012851",
            "telephone_number": "478-738-9443",
            "fax_number": "478-738-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMEROLE",
        "first_name": "OBINNAYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "041550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000716493D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.