DR BROWN N EKELEDO LLC (NPI# 1932429024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932429024 |
| Entity Type | Organization |
| Organization Name | DR BROWN N EKELEDO LLC |
| Practice Address |
770 Pine St Suite 550 Macon GA 31201-2173 |
| Practice Telephone | 4787462719 |
| Practice Fax Number | 4787464808 |
| Mailing Telephone | 4787462719 |
| Mailing Fax Number | 4787464808 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |
| Authorized Official Name | DR. BROWN N EKELEDO (OWNER) |
| Authorized Official Telephone | 4787462719 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 025151 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000268232B | 05 |
| Street Address |
770 PINE ST SUITE 550 |
| City | MACON |
| State | GA |
| Zip Code | 31201-2173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720080443 | Stephen Ashley Noller | Internal Medicine | 770 Pine St, Suite 480, Macon, GA 31201-2173 | 2005-08-12 |
| 1821440819 | Southern Lung Specialists PC | Internal Medicine | 770 Pine St, Suite 560, Macon, GA 31201-7569 | 2016-07-01 |
| 1780009092 | Kimberley G Craddock | Occupational Therapist | 770 Pine St, Macon, GA 31201-2173 | 2014-02-24 |
| 1366796930 | Village Podiatry Group, LLC | Podiatrist | 770 Pine St, Ste 300, Macon, GA 31201-2173 | 2012-11-05 |
| 1275888661 | Hannah R Beauchamp | Nurse Practitioner | 770 Pine St, Ste 520, Macon, GA 31201-2173 | 2012-07-21 |
| 1427324615 | Sushmita Nair | Pediatrics | 770 Pine St, Ste 520, Macon, GA 31201-2173 | 2012-04-01 |
| 1235423047 | Burton D Goodwin Jr. | Radiology | 770 Pine St, Suite 290, Macon, GA 31201-2173 | 2011-06-09 |
| 1831495696 | Annie Lee Williams | Radiology | 770 Pine St, Suite 290, Macon, GA 31201-2173 | 2011-01-26 |
| 1629371638 | Cardiovascular Associates of Macon, PC | Specialist | 770 Pine St, Suite 480, Macon, GA 31201-2173 | 2010-12-13 |
| 1982922365 | Joshua Benjamin Cooper | Radiology | 770 Pine St, Suite 290, Macon, GA 31201-2173 | 2010-05-11 |
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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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1871058933 | Central Georgia Vascular Solutions | Surgery | 688 Walnut St Ste 201, Macon, GA 31201-0316 | 2019-02-04 |
| 1780103879 | Gurijala Ramesh Ramayya | Surgery | 215 Autumn Trace Ct, Macon, GA 31210-8024 | 2017-09-11 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1437594132 | Icu Specialists, LLC | Surgery | 656 Monticlair Dr, Macon, GA 31210-4432 | 2013-05-08 |
| 1164611331 | Hany N Atalah | Surgery | 4801 Oxford Rd, Macon, GA 31210-3039 | 2007-10-23 |
| 1649495870 | William Thomas Carrigan | Surgery | 121 Wolf Creek Dr N, Macon, GA 31210-9002 | 2007-04-14 |
| 1649341033 | Donald W Rhame | Surgery | 700 Spring St, Ste 300, Macon, GA 31201-2146 | 2006-11-10 |
| 1437184306 | John Thomas Williams Iv | Surgery | 870 High St, Macon, GA 31213-0001 | 2006-07-11 |
| 1629002365 | Thomas C Woodyard | Surgery | 330 Hospital Dr Bldg C Ste 315, Macon, GA 31217 | 2006-07-10 |
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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.