Jonathan Lance Underwood, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

002394 Issued in GA

Practice address

3207 Country Club Rd
Valdosta, GA 31605-1029

Phone

(229) 242-8480

Fax

(229) 241-0252

NPI assigned

Nov 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Georgia Home Health Services Home health agency, Valdosta, GA, CCN 117058
• Amedisys Home Health of Valdosta Home health agency, Valdosta, GA, CCN 117114
• Crescent Home Health Home health agency, Adel, GA, CCN 117087
• SGMC Health Hospital, Valdosta, GA, CCN 110122
• SGMC Berrien Campus Hospital, Nashville, GA, CCN 110234

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: jonathan.underwood.1@7117.direct.athenahealth.com

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.

• SGMC Physician Network Inc

  • Multi-Specialty Clinic/Center
  • Valdosta, GA
  • NPI 1417597170

  GA

  Medicare reassignment Care Compare group NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857

  GA, Internal Medicine

  Medicare reassignment NPD
• Valdosta Medical Clinic

  • Multi-Specialty Clinic/Center
  • Valdosta, GA
  • NPI 1538200035

  GA

  Medicare reassignment NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273

  Internal Medicine

  NPD
• SGMC Affiliated Services LLC

  • Multi-Specialty Clinic/Center
  • Valdosta, GA
  • NPI 1114740362
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Valdosta, GA
  • NPI 1720036494
  Care Compare affiliation
• GHHS Healthcare, LLC

  • Home Health Agency
  • Valdosta, GA
  • NPI 1114174992
  Care Compare affiliation
• South Georgia Medical Center Inc

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553

  Hospital

  Care Compare affiliation
• South Georgia Medical Center Inc

  • General Acute Care Hospital
  • Nashville, GA
  • NPI 1689440091

  Hospital

  Care Compare affiliation
• Suncrest Home Health of South Ga, Inc.

  • Home Health Agency
  • Adel, GA
  • NPI 1457583718
  Care Compare affiliation

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1265612972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 COUNTRY CLUB RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051029",
            "telephone_number": "229-242-8480",
            "fax_number": "229-241-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 COUNTRY CLUB RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051029",
            "telephone_number": "229-242-8480",
            "fax_number": "229-241-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "JONATHAN",
        "middle_name": "LANCE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "002394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Sims Tyre, LMFT
• Suzanne C Tyrone, CRNA
• Julie Tyus, OT
• Shawn E Tywon, PA
• Vivian Chinonyelum Umegbolu, PHARMD
• Unihealth Solutions, Inc.
• United Rehab Inc
• United Rehab Inc.
• United Rehab Inc.
• United Rehab Inc.

• All providers in Valdosta, GA
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.

Verify at the official NPI Registry.