Individual provider Active NPI

Johnny M Belenchia, MD

  • Pulmonary Disease Physician
  • Thomasville, GA
National Provider Identifier
1205850435
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
071207 Issued in GA
Practice address
2705 E Pinetree Blvd Ste C
Thomasville, GA 31792-4875
Phone
(229) 584-5731
Fax
(229) 228-2492
NPI assigned
Jul 27, 2006
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 11332 MS
Pulmonary Disease Physician 207RP1001X 071207 GA Primary

Addresses

Primary practice location

2705 E Pinetree Blvd Ste C
Thomasville, GA 31792-4875

Mailing address

900 Cairo Rd
Thomasville, GA 31792-4255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address johnny.belenchia.p25@direct.archbold.nextgenshare.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140319002071 GA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 8628047610 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John D Archbold Memorial Hospital Inc CurrentSince Mar 20, 2015 Accepting new patients
Pathology Associates, P.C. Current Accepting new patients
Archbold Medical Group, Inc. Current Accepting new patients
John D. Archbold Memorial Hospital, Inc. CurrentSince Mar 20, 2015 Accepting new patients
Archbold Medical Group CurrentSince Feb 1, 2014 Accepting new patients
Archbold Medical Group, Inc. Pulmonary Disease CurrentSince Feb 1, 2014 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Imperial Health LLP Past Accepting new patients

Locations

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

2705 E Pinetree Blvd
Ste C
Thomasville, GA 31792
Phone (229) 228-7008

706 S Broad St
Thomasville, GA 31792
Phone (229) 228-2400

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

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

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

Interoperability endpoints

  • Direct secure messaging: johnny.belenchia.p25@direct.archbold.nextgenshare.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1205850435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 E PINETREE BLVD STE C",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924875",
            "telephone_number": "229-584-5731",
            "fax_number": "229-228-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELENCHIA",
        "first_name": "JOHNNY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "11332",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "071207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnny.belenchia.p25@direct.archbold.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2705 E Pinetree Blvd Ste C",
            "city": "Thomasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317924875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.