SEAN B PEPPARD MD PC (NPI# 1063582724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063582724 |
Entity Type | Organization |
Organization Name | SEAN B PEPPARD MD PC |
Practice Address |
840 Pine St Suite 800 Macon GA 31201-2100 |
Mailing Address |
Po Box 4867 Macon GA 31208-4867 |
Practice Telephone | 4787434717 |
Practice Fax Number | 4787437599 |
Mailing Telephone | 4787434717 |
Mailing Fax Number | 4787437955 |
Enumeration Date | 2006-11-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. SEAN B PEPPARD (OWNER) |
Authorized Official Telephone | 4787434717 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | GA | Allopathic & Osteopathic Physicians |
Street Address |
840 PINE ST SUITE 800 |
City | MACON |
State | GA |
Zip Code | 31201-2100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932191582 | Alan N Gordon | Obstetrics & Gynecology | 840 Pine St, Ste 760, Macon, GA 31201-2100 | 2005-08-19 |
1164973327 | Patricia Tarver | Nurse Practitioner | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2016-10-21 |
1801243894 | Konstantinos Fountas | Neurological Surgery | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2016-05-19 |
1487000501 | Jessica Knight | Nurse Practitioner | 840 Pine St, Ste 900, Macon, GA 31201-2100 | 2016-05-07 |
1932567716 | Kaci Robinson | Nurse Practitioner | 840 Pine St, Ste 510, Macon, GA 31201-2100 | 2016-02-08 |
1245648245 | Stephanie Tolliver-epps | Nurse Practitioner | 840 Pine St, Macon, GA 31201-2100 | 2014-07-23 |
1518389170 | Jonathan Haynes | Physician Assistant | 840 Pine St, Ste 500, Macon, GA 31201-2100 | 2014-01-15 |
1164862710 | Alison M Robbins | Nurse Practitioner | 840 Pine St, Ste 780, Macon, GA 31201-2100 | 2013-06-27 |
1336582626 | Charles D Gomez | Student in an Organized Health Care Education/Training Program | 840 Pine St, Macon, GA 31201-2100 | 2013-04-17 |
1932485125 | Children's Neurology Ctr Macon, LLC | Psychiatry & Neurology | 840 Pine St, Ste 970, Macon, GA 31201-2100 | 2011-11-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
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Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801402714 | Top Dog Solutions LLC | Otolaryngology | 4295 Interstate Dr Ste B, Macon, GA 31210-6815 | 2020-09-17 |
1548226558 | Matthew L. Jerles | Otolaryngology | 540 Hemlcok St., Macon, GA 31201 | 2006-04-26 |
1245294180 | C. Warren Dunn | Otolaryngology | 540 Hemlock St, Macon, GA 31201-3202 | 2006-04-17 |
1033197579 | Andrew Tice | Otolaryngology | 1136 Jackson Springs Rd, Macon, GA 31211-1435 | 2006-01-05 |
1811300577 | Sean Dawson | Otolaryngology | 540 Hemlock St, Macon, GA 31201-3202 | 2014-06-10 |
1447411715 | John Robert Newman | Otolaryngology | 540 Hemlock St, Macon, GA 31201-3202 | 2008-06-19 |
1881774982 | William W Baxley Jr. | Otolaryngology | 818 Forsyth Street, Macon, GA 31201-2139 | 2006-10-16 |
1982649265 | April Michelle Tanner | Otolaryngology | 540 Hemlock St, Macon, GA 31201-3202 | 2006-06-19 |
1154364370 | Alejandro J. Correa | Otolaryngology | 540 Hemlock St, Macon, GA 31201-3202 | 2006-06-14 |
1346282415 | John Warren Griffin | Otolaryngology | 540 Hemlock St, Macon, GA 31201-3202 | 2006-06-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.