Individual provider Active NPI

Sylvester McRae, MD

  • Obstetrics & Gynecology Physician
  • Columbus, GA
National Provider Identifier
1790851699
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
26893 Issued in GA
Practice address
1538 13TH Ave Ste C200
Columbus, GA 31901-2546
Phone
(706) 320-2547
Fax
(706) 320-2549
NPI assigned
Nov 24, 2006
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0012555 AL
Obstetrics & Gynecology Physician 207V00000X 26893 GA Primary

Addresses

Primary practice location

1538 13TH Ave Ste C200
Columbus, GA 31901-2546

Mailing address

1538 13TH Ave Ste C200
Columbus, GA 31901-2546
Phone (706) 320-2547

Other practice location 1

3081 Williams Rd Unit A
Columbus, GA 31909-5716
Phone (706) 320-2547

Other identifiers 1

IdentifierTypeStateIssuer
00309306AMedicaidGA

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
I20110823000873 GA Practitioner - Obstetrics/Gynecology 2062682339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serena D. Tidwell, M.D., P.C.Group PAC ID 9931291226, 16 clinicians

Practice addresses (Care Compare)

1538 13TH Ave
Suite C200
Columbus, GA 31901-2546
Phone (706) 320-2547

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0012555ALMDObstetrics & Gynecology Physician
26893GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Practices LLC CurrentSince Jan 1, 2016 Accepting new patients
St. Francis Obstetric & Gynecology, LLC Obstetrics & Gynecology Current Accepting new patients
Rrsoc LLC CurrentSince Feb 9, 2025 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jan 1, 2016 Accepting new patients
Serena D. Tidwell, M.D., P.C. CurrentSince Feb 9, 2025 Accepting new patients

Locations

1538 13th Ave
Ste B200
Columbus, GA 31901
Phone (706) 320-2547

1538 13th Ave
Ste C200
Columbus, GA 31901
Phone (706) 320-2547

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2300 Manchester Expy
Ste 2001A
Columbus, GA 31904
Phone (706) 320-3126

2300 Manchester Expy
Ste A002
Columbus, GA 31904
Phone (706) 320-3203

2300 Manchester Expy
Ste H202
Columbus, GA 31904
Phone (706) 320-3090

3081 Williams Rd
Unit A
Columbus, GA 31909
Phone (706) 320-2547

Interoperability endpoints

  • Direct secure messaging: sylvester.mcrae@sfhga.gadirect.net

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.

Hospital & facility affiliations 1

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": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1790851699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 13TH AVE STE C200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012546",
            "telephone_number": "706-320-2547",
            "fax_number": "706-320-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 13TH AVE STE C200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012546",
            "telephone_number": "706-320-2547",
            "fax_number": "706-320-2549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3081 Williams Rd Unit A",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319095716",
            "country_code": "US",
            "telephone_number": "706-320-2547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "SYLVESTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "0012555",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "26893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309306A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.