Active NPI
Joshua Brent Herndon
- Internal Medicine Physician
- Summerville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 95722
- Practice address
- 11766 Highway 27
Summerville, GA 30747-5989 - Phone
- (706) 857-3915
- NPI assigned
- Apr 2, 2020
- Last updated
- Sep 5, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 95722 | GA | Primary |
Addresses
Primary practice location
11766 Highway 27
Summerville, GA 30747-5989
Mailing address
420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone (706) 509-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jherndon1252415@CarolinasHealthcareSystem.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Mercer University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11766 Hwy 27
Summerville, GA 30747-5989
Phone (706) 857-3915
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-4340
Hospital & facility affiliations
- Adoration Home Health
- North Georgia Home Health Agency, an Amedysis Comp
- Atrium Health Floyd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.9 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 77.5
- Improvement activities
- 40
- Cost
- 74.58
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11866 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd Healthcare Management Inc | Current | Accepting new patients | |
| Floyd Healthcare Management Inc | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, P.C. | Current | Accepting new patients | |
| 24 On Physicians, PC | Current | Accepting new patients | |
| Floyd Healthcare Management Inc | Past | Accepting new patients | |
| Harbin Clinic, LLC | Past | Accepting new patients |
Locations
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
306 Shorter Ave NW
Rome, GA 30165
Phone (706) 509-3500
420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
11766 Highway 27
Summerville, GA 30747
Phone (706) 857-1010
11766 Highway 27
Ste A
Summerville, GA 30747
Phone (706) 230-4240
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
Interoperability endpoints
- jherndon1252415@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Rome, GA
- NPI 1912956251
-
dba Atrium Health Floyd Primary Care
- Family Medicine Physician
- Rome, GA
- NPI 1689610149
Internal Medicine
-
dba Atrium Health Floyd Specialty Pharmacy
- Specialty Pharmacy
- Rome, GA
- NPI 1548056468
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
-
- Ambulatory Surgical Clinic/Center
- Cartersville, GA
- NPI 1467016055
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Georgia Home Health Agency, an Amedisys Company
- Home Health Agency
- Ringgold, GA
- NPI 1548218290
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1194354266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 2ND AVE STE 103",
"city": "ROME",
"state": "GA",
"postal_code": "301613210",
"telephone_number": "706-509-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11766 HIGHWAY 27",
"city": "SUMMERVILLE",
"state": "GA",
"postal_code": "307475989",
"telephone_number": "706-857-3915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNDON",
"first_name": "JOSHUA",
"middle_name": "BRENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-02",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "95722",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jherndon1252415@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "N",
"address_1": "11766 Highway 27",
"city": "Summerville",
"state": "GA",
"country_code": "US",
"postal_code": "307475989",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Summerville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.