DR. EMMETT REAVES BERRY M.D. NPI 1104895614

Pediatrics in Macon, GA

NPI 1104895614 Individual Male Pediatrics

About EMMETT BERRY

Emmett Berry is a pediatrician established in Macon, Georgia and his medical specialization is pediatrics. The NPI number of Emmett Berry is 1104895614 and was assigned on March 2006. The practitioner's primary taxonomy code is 208000000X with license number 023905 (GA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

A pediatrician like Dr. Emmett Reaves Berry M.d. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Emmett Berry is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1104895614

Provider NameDR. EMMETT REAVES BERRY M.D.
Provider Location Address3888 NORTHSIDE DR MACON, GA 31210
Provider Mailing Address3888 NORTHSIDE DR MACON, GA 31210
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date03-16-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.023905
License StateGA
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

DR. EMMETT REAVES BERRY M.D.
3888 NORTHSIDE DR
MACON, GA
ZIP 31210
Phone: (478) 477-4044
Fax: (478) 477-7076

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Mailing Address

DR. EMMETT REAVES BERRY M.D.
3888 NORTHSIDE DR
MACON, GA
ZIP 31210
Phone: (478) 477-4044
Fax: (478) 477-7076



Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013147503 JENNIFER JOHNSON SLADE CPNP-PC
Individual
Nurse Practitioner (Pediatrics)3888 NORTHSIDE DR
MACON, GA 31210
(478) 477-4044
1891780094DR. LAURIE H GILLESPIE MD
Individual
Pediatrics3888 NORTHSIDE DR
MACON, GA 31210
(478) 477-4044
1598232944NORTHSIDE PEDIATRICS PC
Organization
Pediatrics (Adolescent Medicine)3888 NORTHSIDE DR
MACON, GA 31210
(478) 477-4044

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.