ALYSSA BAUTISTA MD
NPI 1609636869
Pediatrics in Macon, GA

Q: What is Alyssa Bautista's NPI number?

The NPI number for Alyssa Bautista is 1609636869. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Q: What is Alyssa Bautista's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Bautista was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2024PECOS Enrolled

777 HEMLOCK STREET LN # 165, MACON, GA 31201(478) 633-1634 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alyssa Bautista Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA BAUTISTA MD (NPI 1609636869) is an individual pediatrics provider in Macon, Georgia, licensed in Georgia (16002) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609636869

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameALYSSA BAUTISTACredential: MD

Location Address777 HEMLOCK STREET LN # 165Macon, GA 31201-2168

Mailing Address777 Hemlock Street Ln # 165Macon, GA 31201-2168 · (478) 633-1634

Phone(478) 633-1634

Sole ProprietorNo

Enumeration DateMarch 22, 2024

Last NPPES UpdateMay 29, 2024

NPPES CertifiedMay 29, 2024

✔ NPI 1609636869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 16002

Definition

A 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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

777 HEMLOCK STREET LN # 165, Macon, GA 31201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Bautista Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW BENJAMIN MOORE MD

Pediatrics