Individual provider Active NPI

Jean Marc Guitton, MD

  • Neurological Surgery Physician
  • Augusta, GA
National Provider Identifier
1114979242
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
048634 Issued in GA
Practice address
840 Stevens Creek Road
Augusta, GA 30907
Phone
(706) 722-6957
Fax
(706) 722-7454
NPI assigned
May 17, 2006
Last updated
Jun 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 048634 GA Primary

Addresses

Primary practice location

840 Stevens Creek Road
Augusta, GA 30907

Mailing address

PO Box 204630
Augusta, GA 30917-4630
Phone (706) 722-6957

Other identifiers 4

IdentifierTypeStateIssuer
000885596DMedicaidGA
000885596EMedicaidGA
G48634MedicaidSC
P00393603OtherGARAILROAD MEDICARE

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
I20070510000112 GA Practitioner - Neurosurgery 9638081268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Emory University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

51 Hospital Rd
Newnan, GA 30263-1209
Phone (770) 251-5540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion76
Laminectomy or laminotomy (partial removal of spine bones)29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umg Neurosurgery LLC Neurological Surgery CurrentSince Oct 1, 2014 Accepting new patients
Piedmont Providers LLC CurrentSince Aug 1, 2023 Accepting new patients
Umg Neurosurgery LLC CurrentSince Oct 1, 2014 Accepting new patients
Augusta Neuroscience PC Neurological Surgery Past Accepting new patients
Neurological Asssociate of Augusta, PC Neurological Surgery PastSince Sep 1, 2002 Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

840 Stevens Creek Rd
Augusta, GA 30907
Phone (706) 722-6957

840 Stevens Creek Rd
Ste 8A
Augusta, GA 30907
Phone (706) 722-6957

51 Hospital Rd
Newnan, GA 30263
Phone (770) 251-5540

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23795/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1114979242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204630",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309174630",
            "telephone_number": "706-722-6957",
            "fax_number": "706-722-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 STEVENS CREEK ROAD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30907",
            "telephone_number": "706-722-6957",
            "fax_number": "706-722-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUITTON",
        "first_name": "JEAN",
        "middle_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "048634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000885596D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000885596E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G48634",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00393603",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.