Active NPI
Paul Edward Raber, DO
- Family Medicine Physician
- Madison, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 042704
- Practice address
- 1550 Eatonton Rd
Madison, GA 30650-4627 - Phone
- (706) 752-0322
- Fax
- (978) 327-7921
- NPI assigned
- Aug 18, 2006
- Last updated
- May 7, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 042704 | GA | Primary |
Addresses
Primary practice location
1550 Eatonton Rd
Madison, GA 30650-4627
Mailing address
PO Box 209
Madison, GA 30650-0209
Phone (706) 752-0322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000739252K | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New England, College of Osteo Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1550 Eatonton Rd
Madison, GA 30650-4627
Phone (706) 438-6486
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042704 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Emergency Medical Services Consolidated, LLC | Family Medicine | Current | Accepting new patients |
| Southland Taylor Hospitalist Group, LLC | Current | Accepting new patients | |
| Southland Cochran Emergency Medical Services, LLC | Current | Accepting new patients | |
| After Hours Urgent Care, LLC | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Georgia PC | Family Medicine | Current | Accepting new patients |
Locations
145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950
367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072
1550 Eatonton Rd
Madison, GA 30650
Phone (706) 438-6486
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000
Organizations & group practices 6
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.
-
- Primary Care Clinic/Center
- Madison, GA
- NPI 1801080288
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
Family Medicine
-
- Emergency Medicine Physician
- Cocharan, GA
- NPI 1205241395
-
- Hospitalist Physician
- Cochran, GA
- NPI 1033464391
Family Medicine
-
- Hospitalist Physician
- Hawkinsville, GA
- NPI 1093120909
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health of Covington
- Home Health Agency
- Covington, GA
- NPI 1134177835
-
dba Morgan Medical Center
- Family Medicine Physician
- Madison, GA
- NPI 1083080105
Hospital
-
dba Morgan Medical Center
- Critical Access Hospital
- Madison, GA
- NPI 1205843174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1740394428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 209",
"city": "MADISON",
"state": "GA",
"postal_code": "306500209",
"telephone_number": "706-752-0322",
"fax_number": "978-327-7921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 EATONTON RD",
"city": "MADISON",
"state": "GA",
"postal_code": "306504627",
"telephone_number": "706-752-0322",
"fax_number": "978-327-7921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABER",
"first_name": "PAUL",
"middle_name": "EDWARD",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "042704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000739252K",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.