Individual provider Active NPI

Jorge L Macia, MD

  • Family Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1851486468
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME72263 Issued in FL
Practice address
115 SE 4TH Street
Boynton Beach, FL 33435-4905
Phone
(561) 732-2701
Fax
(561) 732-0354
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0072263 FL
Family Medicine Physician 207Q00000X ME72263 FL Primary

Addresses

Primary practice location

115 SE 4TH Street
Boynton Beach, FL 33435-4905

Mailing address

115 SE 4TH Street
Boynton Beach, FL 33435-4905
Phone (561) 732-2701

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address georgemaciamd@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101020000185 FL Practitioner - Family Practice 1355360702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jorge L. Macia, M.D.and Rosa M. Marin M.D.P.aGroup PAC ID 3173542529, 2 clinicians

Practice addresses (Care Compare)

115 SE 4TH St
Boynton Beach, FL 33435-4905
Phone (561) 732-2701

Hospital & facility affiliations

  • Elder'S Choice, Inc. Home health agency, West Palm Beach, FL, CCN 109177
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0072263FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge L. Macia, M.D.& Rosa M. Marin M.D.P.a. Family Medicine CurrentSince May 21, 1999 Accepting new patients
Bethesda Health Outpatient Services, Inc. Past Accepting new patients

Locations

115 SE 4th St
Boynton Beach, FL 33435
Phone (561) 732-2701

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851486468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SE 4TH STREET",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354905",
            "telephone_number": "561-732-2701",
            "fax_number": "561-732-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SE 4TH STREET",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354905",
            "telephone_number": "561-732-2701",
            "fax_number": "561-732-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIA",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0072263",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME72263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "georgemaciamd@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA",
            "address_1": "115 SE 4th Street",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334354905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.