Active NPI
W Eric Macleod, MD
- Orthopaedic Surgery Physician
- Douglas, GA
National Provider Identifier
1902021041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 053861
- Practice address
- 100 Doctors Drive
Suite 101
Douglas, GA 31533 - Phone
- (912) 383-6575
- Fax
- (912) 383-6476
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 053861 | GA | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 053861 | GA |
Addresses
Primary practice location
100 Doctors Drive
Suite 101
Douglas, GA 31533
Mailing address
210 E. Derenne Ave
Attn: Hope Sams
Savannah, GA 31405
Phone (912) 644-5300
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 594551065E | Medicaid | GA | |
| 594551065C | Medicaid | GA | |
| 594551065B | Medicaid | GA | |
| 594551065D | Medicaid | GA | |
| 5945510656 | Medicaid | GA | |
| 594551065A | 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 |
|---|---|---|---|
| 053861 | GA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Orthopedic Consultants | Orthopaedic Surgery | Past | Accepting new patients |
| Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | Past | Accepting new patients |
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.
-
dba Orthopedic Surgeons of Georgia
- Orthopaedic Surgery Physician
- Douglas, GA
- NPI 1427337294
-
- Orthopaedic Surgery Physician
- Salt Lake City, UT
- NPI 1487680609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1902021041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E. DERENNE AVE",
"address_2": "ATTN: HOPE SAMS",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31405",
"telephone_number": "912-644-5300",
"fax_number": "912-644-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DOCTORS DRIVE",
"address_2": "SUITE 101",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "31533",
"telephone_number": "912-383-6575",
"fax_number": "912-383-6476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLEOD",
"first_name": "W",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "053861",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "GA",
"license": "053861",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "594551065E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "594551065C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "594551065B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "594551065D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5945510656",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "594551065A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.