NPIMap

Organization Active NPI

Georgia Spine & Orthopedics LLC

  • Orthopaedic Surgery of the Spine Physician
  • Macon, GA
National Provider Identifier
1609244524
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
59432 Issued in GA
Legal business name
GEORGIA SPINE & ORTHOPEDICS LLC
Practice address
310 Hospital Dr Ste 210
Macon, GA 31217-8026
Phone
(478) 787-6255
Fax
(478) 812-8700
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Winston R Jeshuran, MDNPI 1710900162
Title
Orthopedic Spine Surgeon
Phone
(478) 787-6255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X 59432 GA Primary

Addresses

Primary practice location

310 Hospital Dr Ste 210
Macon, GA 31217-8026

Mailing address

PO Box 26984
Macon, GA 31221-6984
Phone (478) 719-8895

Other practice location 1

6501 Peake Rd Ste 400
Macon, GA 31210-8046
Phone (478) 719-8895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151027000782 GA Part B Supplier - Clinic/Group Practice 0244549558 Receives reassigned benefits from 4 practitioners
Practice locations: Macon, GA; Reidsville, GA; Warner Robins, GA
O20180322002976 GA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0244549558 Practice locations: Macon, GA

National Provider Directory

National Provider Directory

Locations

310 Hospital Dr
Ste 210B
Macon, GA 31217

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1609244524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26984",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312216984",
            "telephone_number": "478-719-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HOSPITAL DR STE 210",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178026",
            "telephone_number": "478-787-6255",
            "fax_number": "478-812-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 Peake Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312108046",
            "country_code": "US",
            "telephone_number": "478-719-8895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGIA SPINE & ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "JESHURAN",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ORTHOPEDIC SPINE SURGEON",
        "authorized_official_telephone_number": "478-787-6255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "GA",
            "license": "59432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.