Individual provider Active NPI

Winston R. Jeshuran, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Macon, GA
National Provider Identifier
1710900162
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
Practice address
310 Hospital Dr Ste 210
Macon, GA 31217-8026
Phone
(478) 787-6255
Fax
(478) 812-8700
NPI assigned
Jul 26, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 59432 GA Primary
Orthopaedic Surgery Physician 207X00000X D64605 MD

Addresses

Primary practice location

310 Hospital Dr Ste 210
Macon, GA 31217-8026

Mailing address

310 Hospital Dr Ste 210
Macon, GA 31217-8026
Phone (478) 787-6255

Other practice location 1

6501 Peake Rd
Suite 400
Macon, GA 31210-8042
Phone (478) 787-6255

Other identifiers 2

IdentifierTypeStateIssuer
560184785BMedicaidGA
P00763724OtherGAMEDICARE RAILROAD

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
I20080326000125 GA Practitioner - Orthopedic Surgery 7416956016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Columbia University College of Physicians and Surgeons, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Spine and Orthopedics, LLCGroup PAC ID 0244549558, 4 clinicians

Practice addresses (Care Compare)

109 Osigian Blvd
Suite 200
Warner Robins, GA 31088-8923
Phone (478) 719-8895

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

310 Hospital Dr
Suite 210
Macon, GA 31217-8026
Phone (478) 719-8895

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as group
Quality
95.04
Improvement activities
40
Cost
72.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion285
Laminectomy or laminotomy (partial removal of spine bones)30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D64605MDMDOrthopaedic Surgery Physician
59432GAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Spine & Orthopedics LLC Orthopaedic Surgery CurrentSince Sep 14, 2015 Accepting new patients
Coliseum Medical Center, LLC Past Accepting new patients

Locations

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

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

310 Hospital Dr
Ste 210
Macon, GA 31217
Phone (478) 742-3704

310 Hospital Dr
Ste 210B
Macon, GA 31217

6501 Peake Rd
Ste 400
Macon, GA 31210
Phone (478) 477-0966

109 Osigian Blvd
Ste 200
Warner Robins, GA 31088
Phone (478) 272-2707

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.

Hospital & facility affiliations 5

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710900162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312108042",
            "country_code": "US",
            "telephone_number": "478-787-6255",
            "fax_number": "888-424-8651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESHURAN",
        "first_name": "WINSTON",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "GA",
            "license": "59432",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D64605",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "560184785B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00763724",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.