Individual provider Active NPI

Justin Fincher, MD

  • Urology Physician
  • Lagrange, GA
National Provider Identifier
1053734517
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
88132 Issued in GA
Practice address
1555 Doctors Dr Ste 101
Lagrange, GA 30240-4132
Phone
(706) 803-7540
Fax
(706) 803-8816
NPI assigned
Feb 3, 2014
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2019-01080 NC
Urology Physician 208800000X 88132 GA Primary

Addresses

Primary practice location

1555 Doctors Dr Ste 101
Lagrange, GA 30240-4132

Mailing address

1555 Doctors Dr
Lagrange, GA 30240-4132
Phone (706) 803-7540

Other practice location 1

6000 W Highway 98
Pensacola, FL 32512-0001
Phone (850) 505-6485

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jfincher510920@directwellstar.org Health Information Exchange (HIE)
Direct Messaging Address jfincher510920@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191002003786 NC Practitioner - Urology 4284950718 Reassigns benefits to 1 organization
I20210719001164 GA Practitioner - Urology 4284950718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Mercer University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1510 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 845-3905

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 880-7222

1555 Doctors Dr
Lagrange, GA 30240-4132

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-01080NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Cumberland County Hospital System Inc Urology CurrentSince Aug 21, 2019 Accepting new patients
Archbold Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Aug 21, 2019 Accepting new patients
Archbold Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients
James Daniel, MD D/B/a Wellstar Pulmonary Medicine PastSince Jun 2, 2024 Accepting new patients
Wellstar Medical Group, LLC PastSince Jun 2, 2024 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1555 Doctors Dr
Ste 101
Lagrange, GA 30240
Phone (706) 803-7540

100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141

900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1053734517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 DOCTORS DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404132",
            "telephone_number": "706-803-7540",
            "fax_number": "706-803-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 DOCTORS DR STE 101",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404132",
            "telephone_number": "706-803-7540",
            "fax_number": "706-803-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 W Highway 98",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325120001",
            "country_code": "US",
            "telephone_number": "850-505-6485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINCHER",
        "first_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-03",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2019-01080",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "88132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfincher510920@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1555 Doctors Dr Ste 101",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfincher510920@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1555 Doctors Dr Ste 101",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.