NPI age
16 years
Enumerated 2010-04-23
● Active Type 2 · Organization
Paul R. Phelps, Sr, M.d., Pc
Paul R. Phelps, Sr, M.d., Pc is 1 of 1991 emergency medicine organizations in Georgia.
Primary specialty
Emergency Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brickle
Billing Agent
Last NPPES update
2010-12-20
Source: monthly bulk 2026-05
How this organization compares
Across 1991 active emergency medicine providers in Georgia.
NPI age
16 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-04Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
818 Forsyth Street
MacOn, GA 312012139
Mailing address
P.o. Box 28170
MacOn, GA 312218170
Authorized official
Tammy J Brickle
Billing Agent
📞 4782545943
Individual providers at this organization
3 individual providers on file at this primary practice address.
- William Baxley, M.D. Otolaryngology NPI 1881774982
- Derrick Lane, M.D. Family Medicine NPI 1124079447
- Paul Phelps, M.D. Emergency Medicine NPI 1821168931
Specialties
-
Emergency Medicine PrimaryAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 011990 | STATE LICENSE |
| 05 (GA) | 00071398A |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.