Active NPI
Christi Bacon, NP
- Nurse Practitioner
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN209689
- Practice address
- 1014 Forsyth St Ste 100
Macon, GA 31201-2051 - Phone
- (478) 633-7600
- Fax
- (478) 633-7354
- NPI assigned
- Oct 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN209689 | GA | Primary |
Addresses
Primary practice location
1014 Forsyth St Ste 100
Macon, GA 31201-2051
Mailing address
1014 Forsyth St Ste 100
Macon, GA 31201-2051
Phone (478) 633-7600
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230525000603 | GA | Practitioner - Nurse Practitioner | 4789040205 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Services of Central Georgia
Practice addresses (Care Compare)
1014 Forsyth St
Suite 100
Macon, GA 31201-2051
Phone (478) 633-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Services of Central Georgia, Inc | Current | Accepting new patients |
Locations
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
1014 Forsyth St
Ste 100
Macon, GA 31201
Phone (478) 633-7600
550 Professional Dr
Macon, GA 31201
Phone (478) 741-3007
888 Pine St
Macon, GA 31201
Phone (478) 751-0527
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
Interoperability endpoints
- cbacon460981@carolinashealthcaresystem.direct-ci.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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1609410091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 FORSYTH ST STE 100",
"city": "MACON",
"state": "GA",
"postal_code": "312012051",
"telephone_number": "478-633-7600",
"fax_number": "478-633-7354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 FORSYTH ST STE 100",
"city": "MACON",
"state": "GA",
"postal_code": "312012051",
"telephone_number": "478-633-7600",
"fax_number": "478-633-7354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACON",
"first_name": "CHRISTI",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN209689",
"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 Sep 20, 2023; 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.