EDMUND GORDON BYNE (MD) – Family Medicine Physician, NPI 1033186648

EDMUND GORDON BYNE (MD) is a healthcare provider. based in Millen, Georgia. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 024786 (GA). The NPI Number for EDMUND GORDON BYNE (MD) is 1033186648

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
EDMUND GORDON BYNE (MD)
NPI
1033186648
Phone
(478) 982-9081
Address
961 E WINTHROPE AVE
Enumeration Date
2 March 2006
Last Update Date
18 February 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7067904440
Graduation Year
1975 (51 years ago)
PAC ID
2062498223
Group Practice PAC ID
7315851078
Professional Enrollment ID
I20040628000992
Address ID
GA308331185WR501XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for EDMUND GORDON BYNE (MD)

  • East Winthrope Avenue, Millen, Jenkins County, Georgia, 30442, United States

    MILLEN, GA 30442

    Phone: (478) 982-9081

    Fax: (478) 982-8843

    Type: Location

  • 961 E Winthrope Ave

    Millen, GA 30442

    Phone: (478) 982-9081

    Fax: (478) 982-8843

    Type: Location

  • 301 Jones Ave

    Waynesboro, GA 308301510

    Phone: (706) 554-2176

    Fax: (706) 437-0006

    Type: Location

  • 2467 Golden Camp Rd

    Augusta, GA 309065515

    Phone: (706) 790-4440

    Fax: (706) 790-4393

    Type: Location

  • Golden Camp Road, Thomas Woods, Augusta, Richmond County, Georgia, 30906, United States

    AUGUSTA, GA 309065515

    Phone: (706) 790-4440

    Type: Mailing

  • 480 MARTIN LUTHER KING RD LOT B

    KEYSVILLE, GA 308164464

    Phone: (762) 994-0902

    Fax: (762) 994-0907

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-01-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($34).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040628000992IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
82947Blood glucose (sugar) level3716$0
View full utilization report →

Insurance plans in this area (ZIP 30442)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315851078View full group profile
NameSpecialtyState
Nurse PractitionerGA
General PracticeFL
Physician AssistantGA
O B S T E T R I C S/ G Y N E C O L O G YGA
General PracticeGA
A L L E R G Y/ I M M U N O L O G YGA
Physician AssistantGA
Clinical Social WorkerGA
Nurse PractitionerGA
Physician AssistantGA

Reviews

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Frequently asked questions

What is the registry number for EDMUND GORDON BYNE (MD)?
The registry entry for EDMUND GORDON BYNE (MD) shows NPI 1033186648.
Quick check: is EDMUND GORDON BYNE (MD) active?
Public NPPES data shows EDMUND GORDON BYNE (MD) with an active NPI status right now.
What services align with EDMUND GORDON BYNE (MD)'s listing?
EDMUND GORDON BYNE (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to EDMUND GORDON BYNE (MD)?
EDMUND GORDON BYNE (MD) is associated with Millen, Georgia in the same public data insurers reference.
Can I export EDMUND GORDON BYNE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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