Active NPI
Elisha A Tribble, ARNP
- Family Nurse Practitioner
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- PENDING
- Practice address
- 400 Charter Blvd
Macon, GA 31210-4831 - Phone
- (478) 757-6000
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN171306 | GA | |
| Family Nurse Practitioner | 363LF0000X | PENDING | GA | Primary |
Addresses
Primary practice location
400 Charter Blvd
Macon, GA 31210-4831
Mailing address
103 Troon Way
Macon, GA 31210-2910
Phone (478) 361-2195
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Medical College of Georgia School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Charter Blvd
Macon, GA 31210-4831
Phone (478) 757-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | GA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians - Southeast PC | Current | Accepting new patients | |
| Georgia Em-I Medical Services PC | Current | Accepting new patients | |
| Georgia Em-I Medical Services. LLC | Current | Accepting new patients | |
| Georgia Em-I Medical Services, LLC | Current | Accepting new patients | |
| Vineville Internal Medicine LLC | Current | Accepting new patients | |
| East Georgia Healthcare Center Inc | Past | Accepting new patients | |
| East Georgia Healthcare Center, Inc. | Past | Accepting new patients | |
| Central Georiga Fertility Institute | Past | Accepting new patients |
Locations
200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
3448 Vineville Ave
Macon, GA 31204
Phone (478) 405-0045
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
-
- Nurse Practitioner
- Bremen, GA
- NPI 1851569560
-
- Internal Medicine Physician
- Macon, GA
- NPI 1396955431
-
- Emergency Medicine Physician
- Covington, GA
- NPI 1780080192
-
- Nurse Practitioner
- Covington, GA
- NPI 1255213005
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Federally Qualified Health Center (FQHC)
- Soperton, GA
- NPI 1700820917
-
- Federally Qualified Health Center (FQHC)
- Twin City, GA
- NPI 1568330652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1992933329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 TROON WAY",
"city": "MACON",
"state": "GA",
"postal_code": "312102910",
"telephone_number": "478-361-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CHARTER BLVD",
"city": "MACON",
"state": "GA",
"postal_code": "312104831",
"telephone_number": "478-757-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIBBLE",
"first_name": "ELISHA",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN171306",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"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 Oct 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.