Individual provider Active NPI

Oliver Wendell Horne IV, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Macon, GA
National Provider Identifier
1053610642
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
81838 Issued in GA
Practice address
1062 Forsyth St Ste 1B
Macon, GA 31201-8638
Phone
(478) 741-1208
NPI assigned
Mar 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 81838 GA Primary
Internal Medicine Physician 207R00000X LL33743 SC

Addresses

Primary practice location

1062 Forsyth St Ste 1B
Macon, GA 31201-8638

Mailing address

1062 Forsyth St Ste 1B
Macon, GA 31201-8638
Phone (352) 273-9089

Other practice location 1

Uf Division Of Cardiovascular Medicine
Box 100277 1600 SW Archer Road, Room M-432
Gainesville, FL 32610-0277
Phone (352) 273-9089

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
I20190507002032 GA Practitioner - Cardiac Electrophysiology 9931328366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Mercer University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Georgia Heart Center, PCGroup PAC ID 0446248736, 27 clinicians
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1062 Forsyth St
Suite 1B
Macon, GA 31201-8638
Phone (478) 741-1208

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL33743SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Heart Center, PC CurrentSince Apr 20, 2019 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Aug 1, 2019 Accepting new patients
Central Georgia Heart Center, PC Clinical Cardiac Electrophysiology CurrentSince Apr 20, 2019 Accepting new patients

Locations

1329 N 5th Street Ext
Cordele, GA 31015
Phone (229) 273-6939

1000 Hillcrest Pkwy
Dublin, GA 31021
Phone (478) 241-0241

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

222 Perry Hwy
Bldg B
Hawkinsville, GA 31036
Phone (478) 783-3025

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

360 Hospital Dr
Ste 200
Macon, GA 31217
Phone (912) 755-0072

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

1445 Georgia Ave
Macon, GA 31201
Phone (478) 742-0904

1062 Forsyth St
Ste 1B
Macon, GA 31201
Phone (478) 743-7068

2960 Riverside Dr
Macon, GA 31204

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

750 N Cobb St
Ste 150
Milledgeville, GA 31061
Phone (478) 284-0670

750 N Cobb St
Ste 130
Milledgeville, GA 31061
Phone (478) 452-1024

502 Sumter St
Montezuma, GA 31063
Phone (478) 472-3100

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

211 E Thompson St
Thomaston, GA 30286
Phone (404) 647-8909

615 S Center St
Thomaston, GA 30286
Phone (706) 647-2147

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

304 Margie Dr
Warner Robins, GA 31088
Phone (478) 333-2965

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • Direct secure messaging: oliver.horne@cghc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEADD/Endpoint/GGEADD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEADD

Organizations & group practices 3

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 6

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1053610642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 1B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018638",
            "telephone_number": "352-273-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 1B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018638",
            "telephone_number": "478-741-1208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uf Division Of Cardiovascular Medicine",
            "address_2": "Box 100277 1600 SW Archer Road, Room M-432",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326100277",
            "country_code": "US",
            "telephone_number": "352-273-9089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNE",
        "first_name": "OLIVER",
        "middle_name": "WENDELL",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "GA",
            "license": "81838",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL33743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.