DUDLEY BENJAMIN CHRISTIE III (NPI# 1073790622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073790622 |
| Entity Type | Individual |
| Full Name | DUDLEY BENJAMIN CHRISTIE III |
| Credential | MD |
| Practice Address |
840 Pine St Ste 750 Macon GA 31201-7528 |
| Practice Telephone | 4786331458 |
| Practice Fax Number | 4786335025 |
| Mailing Telephone | 4786331458 |
| Mailing Fax Number | 4786335025 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 000566 | GA | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
060568 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427120138 | Dudley B Christie Jr. | Optometrist | 198 S Houston Lake Rd, Ste B, Warner Robins, GA 31088-6473 | 2006-11-15 |
| Street Address |
840 PINE ST STE 750 |
| City | MACON |
| State | GA |
| Zip Code | 31201-7528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821064361 | Dennis W Ashley | Surgery | 840 Pine St Ste 750, Macon, GA 31201-7528 | 2006-02-24 |
| 1730729799 | Laura Julie Caraway | Nurse Practitioner | 840 Pine St Ste 750, Macon, GA 31201-7528 | 2020-01-08 |
| 1396299137 | Janna A Bates | Physician Assistant | 840 Pine St Ste 750, Macon, GA 31201-7528 | 2016-08-10 |
| 1710221841 | David Brandon Bradley | Physician Assistant | 840 Pine St Ste 750, Macon, GA 31201-7528 | 2012-11-15 |
| 1508146051 | Anthony Michael Scott | Surgery | 840 Pine St Ste 750, Macon, GA 31201-7528 | 2011-08-27 |
| 1760710743 | Ashley Jana Marie Jones | Surgery | 840 Pine St Ste 750, Macon, GA 31201-7528 | 2009-12-02 |
| 1649457292 | Danny M Vaughn | Surgery | 840 Pine St Ste 750, Macon, GA 31201-7528 | 2008-01-25 |
| 1205013851 | Eric L Long | Surgery | 840 Pine St Ste 750, Macon, GA 31201 | 2008-01-25 |
| 1043378441 | Michelle Frances Rowell | Nurse Practitioner | 840 Pine St Ste 750, Macon, GA 31201-7528 | 2006-12-05 |
| 1902872948 | William Thompson Jr. | Surgery | 840 Pine St Ste 750, Macon, GA 31201-7528 | 2006-02-28 |
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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 | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1457866261 | Emily Gilchrist | Surgery | 1505 Northside Blvd Ste 2400, Cumming, GA 30041-7662 | 2017-12-04 |
| 1942437363 | Keneeshia Nicole Williams | Surgery | 69 Jesse Hill Jr Dr Se Fl 3, Atlanta, GA 30303-3033 | 2009-06-11 |
| 1528571320 | Savannah Multispecialty Associates, LLC | Surgery | 4700 Waters Ave Ste 400, Savannah, GA 31404-6220 | 2017-11-15 |
| 1447698220 | Kyle Matthew Thomas | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2013-06-13 |
| 1174966337 | Timothy John Stevens | Surgery | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2013-04-08 |
| 1548527450 | Deepika Koganti | Surgery | 69 Jesse Hill Jr. Drive, Sw, Glenn Memorial Bldg 3rd Fl, Atlanta, GA 30303 | 2012-04-16 |
| 1093004616 | Craig Rodney Mccready | Surgery | 201 Dowman Dr Ne, Atlanta, GA 30322-1007 | 2011-04-05 |
| 1104060144 | Caroline Butler | Surgery | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2009-04-21 |
| 1881748234 | James Dominic Frizzi | Surgery | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2007-01-23 |
| 1235199407 | Terence Sidney Okeeffe | Surgery | 1120 15th St, Augusta, GA 30912-7208 | 2006-03-23 |
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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.