Individual provider Active NPI

Macy E Paul

  • Family Nurse Practitioner
  • Byron, GA
National Provider Identifier
1760247662
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN278027 Issued in GA
Practice address
6005 Watson Blvd Ste 100
Byron, GA 31008-6749
Phone
(478) 699-1028
Fax
(478) 699-1029
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN278027 GA Primary

Addresses

Primary practice location

6005 Watson Blvd Ste 100
Byron, GA 31008-6749

Mailing address

6005 Watson Blvd Ste 100
Byron, GA 31008-6749
Phone (478) 699-1028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317002922 GA Practitioner - Nurse Practitioner 0042732208 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN278027GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Apr 2, 2025 Accepting new patients
Careconnect Health, Inc. CurrentSince Apr 2, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 7, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 7, 2025 Accepting new patients
Primary Pediatrics, PC PastSince Feb 1, 2024 Accepting new patients
Middle Georgia Medical Associates, P.C. PastSince Feb 1, 2024 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1102 E Lamar St
Ste 2
Americus, GA 31709
Phone (229) 514-1444

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

6005 Watson Blvd
Ste 100
Byron, GA 31008
Phone (478) 699-1028

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1760247662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 WATSON BLVD STE 100",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310086749",
            "telephone_number": "478-699-1028",
            "fax_number": "478-699-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 WATSON BLVD STE 100",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310086749",
            "telephone_number": "478-699-1028",
            "fax_number": "478-699-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "MACY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN278027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, GA

Sources for this page

Verify at the official NPI Registry.