Active NPI
John Henry Oliver, MD
- Gynecology Physician
- Augusta, GA
National Provider Identifier
1003802117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 024851
- Practice address
- 2300 Wrightsboro Rd
Augusta, GA 30904-6220 - Phone
- (706) 737-3948
- Fax
- (706) 737-4035
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 024851 | GA | Primary |
Addresses
Primary practice location
2300 Wrightsboro Rd
Augusta, GA 30904-6220
Mailing address
2300 Wrightsboro Rd
Augusta, GA 30904-6220
Phone (706) 737-3948
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00447774A | Medicaid | GA | |
| G24851 | Other | SC | MEDICIAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024851 | GA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1003802117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WRIGHTSBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046220",
"telephone_number": "706-737-3948",
"fax_number": "706-737-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 WRIGHTSBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046220",
"telephone_number": "706-737-3948",
"fax_number": "706-737-4035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "JOHN",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": "024851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00447774A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICIAD",
"identifier": "G24851",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.