Cesar Medalla Delima, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

028396 Issued in GA

Practice address

333 Alcovy Street
Suite 10
Monroe, GA 30655

Phone

(770) 267-2790

Fax

(770) 207-0652

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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 Authority of Wayne County Georgia

  • Certified Registered Nurse Anesthetist
  • Jesup, GA
  • NPI 1366506222
  Medicare reassignment NPD
• Tree of Life Health Alliance LLC

  • Primary Care Clinic/Center
  • Monroe, GA
  • NPI 1437433190
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1871707661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151B W SPRING ST",
            "address_2": "STE 210",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306553115",
            "telephone_number": "770-267-2790",
            "fax_number": "770-207-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ALCOVY STREET",
            "address_2": "SUITE 10",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "30655",
            "telephone_number": "770-267-2790",
            "fax_number": "770-207-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIMA",
        "first_name": "CESAR",
        "middle_name": "MEDALLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "028396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000324244D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52238010",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Faye Cuevas, LMSW
• Daniel a Hodges
• Rebecca Joan Daniel, AGACNP
• Charlotte David, FNP, BSN, RN
• Del Mar Medical Supply LLC
• Judith D Delima, M.D.
• William Donovan Delp, D.O.
• Destiney Dempsey, LMSW
• Joe H Dew, OD
• Susan Elizabeth Dexter, NURSE PRACTITIONER

• Surgery Physician in Monroe, GA
• Providers in Monroe, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.