John J Desmond IV, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

52705 Issued in GA

Practice address

304 Shorter Ave NW
Suite 201
Rome, GA 30165-4290

Phone

(706) 509-3300

Fax

(706) 509-3301

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Medical College of Georgia School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Floyd Healthcare Management IncGroup PAC ID 5193633386, 133 clinicians

Floyd Physicians LLCGroup PAC ID 6406852375, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Rome, GA, CCN 117010
• Coosa Valley Home Health, an Amedisys Home health agency, Rome, GA, CCN 117041
• Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054

Merit-based Incentive Payment System (MIPS)

Final score

98.9 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdesmond913532@carolinashealthcaresystem.direct-ci.com

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.

• Floyd Healthcare Management Inc

  • Family Medicine Physician
  • Rome, GA
  • NPI 1689610149

  Family Medicine, GA

  Medicare reassignment Care Compare group NPD
• Floyd Physicians, LLC

  • Neonatal-Perinatal Medicine Physician
  • Rome, GA
  • NPI 1992814586

  GA

  Medicare reassignment Care Compare group NPD
• Floyd Healthcare Management Inc

  • Specialty Pharmacy
  • Rome, GA
  • NPI 1548056468
  Care Compare group NPD
• Floyd Healthcare Management Inc

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1154377166
  Care Compare group NPD (past)
• Floyd Healthcare Management Inc

  • Ambulance
  • Rome, GA
  • NPI 1356444814
  Care Compare group NPD (past)
• Floyd Healthcare Management Inc

  • Psychiatric Hospital Unit
  • Rome, GA
  • NPI 1023057775
  Care Compare group
• Floyd Healthcare Management Inc

  • Community Based Hospice Care Agency
  • Rome, GA
  • NPI 1699721399
  Care Compare group
• Floyd Healthcare Management Inc

  • Rehabilitation Hospital Unit
  • Rome, GA
  • NPI 1801990213
  Care Compare group
• Floyd Home Care Services

  • Home Health Agency
  • Rome, GA
  • NPI 1467535161
  Care Compare group

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

• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Rome, GA
  • NPI 1285682955
  Care Compare affiliation
• Floyd Healthcare Management Inc

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1154377166

  Hospital

  Care Compare affiliation
• Floyd Homecare, LLC

  • Home Health Agency
  • Cedartown, GA
  • NPI 1417016452
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1033112438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE STE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613210",
            "telephone_number": "706-509-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SHORTER AVE NW",
            "address_2": "SUITE 201",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654290",
            "telephone_number": "706-509-3300",
            "fax_number": "706-509-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "52705",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "52705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdesmond913532@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "304 Shorter Ave NW",
            "address_2": "Suite 201",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301654290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdesmond913532@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "304 Shorter Ave NW",
            "address_2": "Suite 201",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301654290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joel Michael Dent, PHARMD.
• Department of Behavioral Health and Developmental Disabilities
• Dermatran Health Solutions LLC
• Jonathan David Derryberry Jr., CAA
• Belete Ayele Desimmie
• Maddison T. Destefano
• Jay E Deville, OWNER
• Diabetic Foot and Ankle Clinic of Georgia, Inc
• Diagnostic Systems of Georgia, LLC
• Alfonso Diaz Jr., MD

• All providers in Rome, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.