Individual provider Active NPI

Sydney Barnes Ekeledo, MD

  • Obstetrics & Gynecology Physician
  • Macon, GA
National Provider Identifier
1659868495
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
92370 Issued in GA
Practice address
1062 Forsyth St Ste 3B
Macon, GA 31201-8640
Phone
(478) 743-3454
Fax
(478) 743-6816
NPI assigned
Apr 17, 2018
Last updated
Jul 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 010605 GA
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 92370 GA Primary

Addresses

Primary practice location

1062 Forsyth St Ste 3B
Macon, GA 31201-8640

Mailing address

1062 Forsyth St Ste 3B
Macon, GA 31201-8640
Phone (478) 743-3454

Other practice location 1

764 Pine St
Macon, GA 31201
Phone (478) 633-1634

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
I20181203003165 GA Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 4385988237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010605GAMDObstetrics & Gynecology Physician
92370GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians & Midwives of Macon, P.C. Obstetrics & Gynecology CurrentSince Jul 17, 2022 Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients
DRS. Schuessler, Pope, Kehl, Barnes & Durso II LLC Obstetrics & Gynecology PastSince Jul 17, 2022 Accepting new patients

Locations

1062 Forsyth St
Ste 3B
Macon, GA 31201
Phone (478) 743-3454

Interoperability endpoints

  • Direct secure messaging: sekeledo433920@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1659868495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 3B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018640",
            "telephone_number": "478-743-3454",
            "fax_number": "478-743-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 3B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018640",
            "telephone_number": "478-743-3454",
            "fax_number": "478-743-6816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "764 Pine St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31201",
            "country_code": "US",
            "telephone_number": "478-633-1634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKELEDO",
        "first_name": "SYDNEY",
        "middle_name": "BARNES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "010605",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "92370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.