Active NPI
John P. Erdman, MD
- Otolaryngology Physician
- Fort Oglethorpe, GA
National Provider Identifier
1245220128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 035251
- Practice address
- 140 Battlewood Dr
Fort Oglethorpe, GA 30742-4006 - Phone
- (706) 861-7070
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD0000024929 | TN | |
| Otolaryngology Physician | 207Y00000X | 035251 | GA | Primary |
Addresses
Primary practice location
140 Battlewood Dr
Fort Oglethorpe, GA 30742-4006
Mailing address
140 Battlewood Dr
Ft Oglethorpe, GA 30742-4006
Phone (706) 861-7070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00459775B | Medicaid | GA |
Other names 1
- John P Erdman
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035251 | GA | MD | Otolaryngology Physician |
| MD0000024929 | TN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erdman ENT, PC | Otolaryngology | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Ringgold, GA
- NPI 1356674865
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Fort Oglethorpe, GA
- NPI 1376932327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1245220128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 BATTLEWOOD DR",
"city": "FT OGLETHORPE",
"state": "GA",
"postal_code": "307424006",
"telephone_number": "706-861-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 BATTLEWOOD DR",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307424006",
"telephone_number": "706-861-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDMAN",
"first_name": "JOHN",
"middle_name": "P.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "MD0000024929",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "035251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00459775B",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "ERDMAN",
"middle_name": "P",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Oglethorpe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.