Individual provider Active NPI

Olusegun Sonny John, MD

  • Family Medicine Physician
  • Milledgeville, GA
National Provider Identifier
1174796130
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
059982 Issued in GA
Practice address
821 N Cobb St
Milledgeville, GA 31061-2343
Phone
(478) 452-0897
NPI assigned
Apr 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 059982 GA Primary
Hospitalist Physician 208M00000X 2024016618 MO
Family Medicine Physician 207Q00000X 0101245550 VA
Family Medicine Physician 207Q00000X 2024016618 MO
Hospitalist Physician 208M00000X 203985 LA

Addresses

Primary practice location

821 N Cobb St
Milledgeville, GA 31061-2343

Mailing address

5925 Beaver Ridge Dr
Cumming, GA 30040-0240
Phone (404) 542-2731

Other practice location 1

16000 Johnston Memorial Dr Fl 4
Abingdon, VA 24211-7664
Phone (276) 258-4050

Other practice location 2

245 Medical Park Dr Fl 2
Marion, VA 24354-1100
Phone (276) 378-3106

Other practice location 3

58 Carroll Street
Rm 2037
Lebanon, VA 24266
Phone (276) 883-8000

Other practice location 4

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA, LA, MO4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20090225000299 GA Practitioner - HospitalistPractitioner - Family Practice 2062578164 Reassigns benefits to 12 organizations
I20090715000576 VA Practitioner - HospitalistPractitioner - Family Practice 2062578164 Reassigns benefits to 4 organizations
I20100811000571 LA Practitioner - Family PracticePractitioner - Hospitalist 2062578164 Reassigns benefits to 4 organizations
I20240522000968 MO Practitioner - Family Practice 2062578164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Oxbow Physician Services LLCGroup PAC ID 1850883513, 36 clinicians
Lake Spring Physician Services, LLCGroup PAC ID 1254689482, 89 clinicians
Clyburn Physician Services LLCGroup PAC ID 9335631100, 20 clinicians

Practice addresses (Care Compare)

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024016618MOMDFamily Medicine Physician
203985LAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Specialty Associates, LLC Family Medicine CurrentSince Jan 10, 2023 Accepting new patients
Dunn Physician Services, LLC Hospitalist CurrentSince Apr 15, 2025 Accepting new patients
Piedmont Hospitalist Physicians LLC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Benning Hospitalist Services, LLC Hospitalist CurrentSince Apr 1, 2019 Accepting new patients
Southeastern Hospitalist Services PC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Au Medical Associates Inc CurrentSince Mar 11, 2013 Accepting new patients
Wellmont Medical Associates Inc Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Feb 1, 2016 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Feb 1, 2016 Accepting new patients
Main Street Physician Services LLC Hospitalist CurrentSince Jun 16, 2021 Accepting new patients
Belle Chasse Physician Services LLC Hospitalist CurrentSince Feb 8, 2024 Accepting new patients
Houston Hospitalist Group LLC Hospitalist Current Accepting new patients
Blue Ridge Medical Management Corporation Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Phoebe Infectious Disease CurrentSince May 1, 2013 Accepting new patients
Blue Ridge Medical Managment Corporation Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince May 1, 2015 Accepting new patients
Oxbow Physician Services LLC Internal Medicine CurrentSince Dec 20, 2025 Accepting new patients
Au Medical Associates Inc CurrentSince Mar 11, 2013 Accepting new patients
Hamilton Physician Group Inc CurrentSince May 1, 2015 Accepting new patients
Phoebe Physician Group, Inc CurrentSince May 1, 2013 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Muscogee Hospitalist Services, LLC Hospitalist CurrentSince Apr 1, 2019 Accepting new patients
Clyburn Physician Services LLC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Opelousas Physician Services LLC Hospitalist CurrentSince Mar 12, 2022 Accepting new patients
Statesboro Hma Physician Management LLC Hospitalist CurrentSince Jun 1, 2023 Accepting new patients
North Oaks Medical Center, LLC Hospitalist CurrentSince Jan 28, 2020 Accepting new patients
Houston Hospitalist Group LLC Hospitalist CurrentSince May 1, 2020 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jan 28, 2020 Accepting new patients
Southeastern Physician Services PC Internal Medicine Past Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Apogee Medical Group Virginia, PC Internal Medicine Past Accepting new patients

Locations (25 of 45)

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

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

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

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

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

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

Interoperability endpoints

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

Organizations & group practices 35

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.

View all 35

Hospital & facility affiliations 7

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1174796130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 BEAVER RIDGE DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400240",
            "telephone_number": "404-542-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612343",
            "telephone_number": "478-452-0897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16000 Johnston Memorial Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-3106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Carroll Street",
            "address_2": "Rm 2037",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "24266",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4541",
            "fax_number": "318-966-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "OLUSEGUN",
        "middle_name": "SONNY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2025-05-08",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "059982",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2024016618",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101245550",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2024016618",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "203985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.