Individual provider Active NPI

John Wilburn Acord Jr.

  • Nurse Practitioner
  • Fairhaven, MA
National Provider Identifier
1013531086
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN271492 Issued in MA
Practice address
208 Mill Rd
Fairhaven, MA 02719-5208
Phone
(973) 200-0508
NPI assigned
Jun 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN271492 MA Primary

Addresses

Primary practice location

208 Mill Rd
Fairhaven, MA 02719-5208

Mailing address

511 Purchase St
Swansea, MA 02777-5023
Phone (774) 930-8560

Other practice location 1

143 Longwater Dr
Norwell, MA 02061-1683
Phone (781) 878-5200

Other practice location 2

1 Donalds Way
East Bridgewater, MA 02333-1476
Phone (508) 941-7100

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Swansea
Other URL Swansea

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210806002277 MA Practitioner - Nurse Practitioner 2961806369 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Healthcare Urgent Care Inc 17 clinicians
Southcoast Physicians Group Inc 875 clinicians

Practice addresses (Care Compare)

110 Liberty St
Suite 1C
Brockton, MA 02301-5674
Phone (508) 941-7100

208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 758-3781

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carecentral Urgent Care Medical Group PC CurrentSince Nov 28, 2021 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 22, 2022 Accepting new patients
First Physicians Corporation CurrentSince May 1, 2023 Accepting new patients
Signature Healthcare Urgent Care, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Signature Healthcare Urgent Care, Inc. Current Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Southcoast Physicians Group, Inc. Current Accepting new patients
South Shore Medical Center, Inc. CurrentSince Oct 9, 2024 Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Nov 28, 2021 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 22, 2022 Accepting new patients

Locations

110 Liberty St
Ste 1C
Brockton, MA 02301
Phone (508) 941-7100

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

650 Centre St
Brockton, MA 02302
Phone (508) 580-8682

208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

682 Depot St
North Easton, MA 02356
Phone (508) 297-1665

143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136

286 Washington St
Stoughton, MA 02072
Phone (781) 341-2800

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Interoperability endpoints

  • Direct secure messaging: jacord15422@direct.southcoast.org
  • Direct secure messaging: john.acord@direct.signature.masshiway.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1013531086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 PURCHASE ST",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027775023",
            "telephone_number": "774-930-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MILL RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195208",
            "telephone_number": "973-200-0508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 Longwater Dr",
            "address_purpose": "LOCATION",
            "city": "Norwell",
            "state": "MA",
            "postal_code": "020611683",
            "country_code": "US",
            "telephone_number": "781-878-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Donalds Way",
            "address_purpose": "LOCATION",
            "city": "East Bridgewater",
            "state": "MA",
            "postal_code": "023331476",
            "country_code": "US",
            "telephone_number": "508-941-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACORD",
        "first_name": "JOHN",
        "middle_name": "WILBURN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN271492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Swansea",
            "affiliation": "N",
            "address_1": "511 Purchase St",
            "city": "Swansea",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027775023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Swansea",
            "affiliation": "N",
            "address_1": "511 Purchase St",
            "city": "Swansea",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027775023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairhaven, MA

Sources for this page

Verify at the official NPI Registry.