NPIMap

Individual provider Active NPI

John Kevin Hardwell, M.D.

  • Emergency Medicine Physician
  • Rome, GA
National Provider Identifier
1093729485
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
049177 Issued in GA
Practice address
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone
(706) 509-6122
Fax
(706) 509-4608
NPI assigned
Jul 28, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 049177 GA Primary

Addresses

Primary practice location

304 Turner McCall Blvd SW
Rome, GA 30165-5621

Mailing address

420 E 2ND Ave
Suite 103
Rome, GA 30161-3224
Phone (706) 509-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040820000842 GA Practitioner - Internal MedicinePractitioner - Emergency Medicine 8325012800 Reassigns benefits to 3 organizations
I20190212001850 AL Practitioner - Internal Medicine 8325012800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattooga River Physicians, LLCGroup PAC ID 8820443575, 19 clinicians
Etowah Emergency Physicians, LLCGroup PAC ID 1456635697, 29 clinicians
Cherokee County Physicians LLCGroup PAC ID 3173860087, 14 clinicians

Practice addresses (Care Compare)

13583 Hwy 27
Trion, GA 30753-1511
Phone (706) 238-8360

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

400 Northwodd Dr
Centre, AL 35960-1023
Phone (256) 927-5531

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049177GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Hospitalists Group, LLC CurrentSince Jan 15, 2017 Accepting new patients
Chattooga River Physicians, LLC Emergency Medicine CurrentSince Oct 11, 2023 Accepting new patients
Weiss Lake Hospitalists, LLC CurrentSince Jul 29, 2019 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Jan 15, 2017 Accepting new patients
Cherokee County Physicians, LLC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Etowah Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Southern Medical Group, Inc Emergency Medicine Past Accepting new patients
Etowah Emergency Physicians, LLC Emergency Medicine PastSince Jan 26, 2020 Accepting new patients

Locations

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

13583 Highway 27
Trion, GA 30753
Phone (706) 238-8360

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093729485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE",
            "address_2": "SUITE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613224",
            "telephone_number": "706-509-3278",
            "fax_number": "706-509-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621",
            "telephone_number": "706-509-6122",
            "fax_number": "706-509-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDWELL",
        "first_name": "JOHN",
        "middle_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "049177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.