Individual provider Active NPI

Justin Lee Rountree, MD

  • Pain Medicine (Anesthesiology) Physician
  • Statesboro, GA
National Provider Identifier
1053572800
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
81392 Issued in GA
Practice address
1497 Fair Rd Ste 206
Statesboro, GA 30458-0824
Phone
(912) 486-1141
Fax
(912) 871-2483
NPI assigned
Jun 24, 2008
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 2012-00569 NC
Pain Medicine (Anesthesiology) Physician 207LP2900X 81392 GA Primary

Addresses

Primary practice location

1497 Fair Rd Ste 206
Statesboro, GA 30458-0824

Mailing address

1497 Fair Rd Ste 206
Statesboro, GA 30458-0824
Phone (912) 486-1141

Other practice location 1

Department Of Anesthesiology
N2198 UNC Hospital CB#7010
Chapel Hill, NC 27599-7010
Phone (919) 966-5136

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address justin.rountree.2@8824.direct.athenahealth.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190107001017 GA Practitioner - Anesthesiology 8628210432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Georgia Hma Physician Management LLCGroup PAC ID 7214068592, 42 clinicians

Practice addresses (Care Compare)

1497 Fair Rd
Statesboro, GA 30458-0823

1497 Fair Rd
Suite 104
Statesboro, GA 30458-0822
Phone (912) 486-1558

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1482

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81392GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Hma Physician Management, LLC CurrentSince Jan 2, 2019 Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients

Locations

1497 Fair Rd
Ste 103
Statesboro, GA 30458
Phone (912) 486-1163

1497 Fair Rd
Ste 206
Statesboro, GA 30458
Phone (912) 486-1426

Organizations & group practices 2

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

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1053572800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 FAIR RD STE 206",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580824",
            "telephone_number": "912-486-1141",
            "fax_number": "912-871-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 FAIR RD STE 206",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580824",
            "telephone_number": "912-486-1141",
            "fax_number": "912-871-2483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Department Of Anesthesiology",
            "address_2": "N2198 UNC Hospital CB#7010",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997010",
            "country_code": "US",
            "telephone_number": "919-966-5136",
            "fax_number": "984-974-4873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUNTREE",
        "first_name": "JUSTIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "2012-00569",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "81392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justin.rountree.2@8824.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1497 Fair Rd Ste 206",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304580824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.