Active NPI
Paul Raymond Phelps Sr., M.D.
- Emergency Medicine Physician
- Macon, GA
National Provider Identifier
1821168931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 011990
- Practice address
- 818 Forsyth Street
Macon, GA 31201-2139 - Phone
- (478) 633-7010
- Fax
- (478) 633-7585
- NPI assigned
- Nov 8, 2006
- Last updated
- Sep 29, 2026
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 011990 | GA | Primary |
Addresses
Primary practice location
818 Forsyth Street
Macon, GA 31201-2139
Mailing address
P.O. Box 28170
Macon, GA 31221-8170
Phone (478) 254-5943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00071398A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011990 | GA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1821168931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 28170",
"city": "MACON",
"state": "GA",
"postal_code": "312218170",
"telephone_number": "478-254-5943",
"fax_number": "478-254-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 FORSYTH STREET",
"city": "MACON",
"state": "GA",
"postal_code": "312012139",
"telephone_number": "478-633-7010",
"fax_number": "478-633-7585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "PAUL",
"middle_name": "RAYMOND",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "011990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00071398A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.