Individual provider Active NPI

Riuyinosa Elema

  • Psychiatry Physician
  • Macon, GA
National Provider Identifier
1780144956
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
90516 Issued in GA
Practice address
380 Hospital Drive
Building a, Suite 430
Macon, GA 31217
Phone
(478) 751-0367
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 90516 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

380 Hospital Drive
Building a, Suite 430
Macon, GA 31217

Mailing address

380 Hospital Drive
Building a, Suite 430
Macon, GA 31217
Phone (478) 751-0367

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
I20220810003796 GA Practitioner - Psychiatry 6406185024 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oconee Community Service Board CurrentSince Nov 21, 2023 Accepting new patients
MCG Eap Services, Inc. CurrentSince Aug 10, 2022 Accepting new patients
Oconee Community Service Board CurrentSince Nov 21, 2023 Accepting new patients
Oconee Community Service Board CurrentSince Nov 21, 2023 Accepting new patients

Locations

179 Pierce Ave
Macon, GA 31204
Phone (478) 742-1464

Organizations & group practices 4

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1780144956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DRIVE",
            "address_2": "BUILDING A, SUITE 430",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31217",
            "telephone_number": "478-751-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DRIVE",
            "address_2": "BUILDING A, SUITE 430",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31217",
            "telephone_number": "478-751-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEMA",
        "first_name": "RIUYINOSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "90516",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.