Johnathan Kham Sayaloune

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

113103 Issued in GA

Practice address

1305 Jennings Mill Rd Ste 210
Watkinsville, GA 30677-7241

Phone

(706) 552-1800

NPI assigned

Mar 28, 2023

Last updated

Aug 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Northeast Georgia Physicians Group Inc

  • Family Medicine Physician
  • Gainesville, GA
  • NPI 1891745212
  NPD
• Piedmont Athens Primary Care LLC

  • Family Medicine Physician
  • Athens, GA
  • NPI 1245746783
  NPD
• Athens Regional Physician Services

  • Family Medicine Physician
  • Athens, GA
  • NPI 1801945803
  NPD (past)

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1275237976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 SPRING STREET,",
            "address_2": "SUITE 710",
            "city": "GAINESILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-219-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 JENNINGS MILL RD STE 210",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777241",
            "telephone_number": "706-552-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1439 Jesse Jewell",
            "address_2": "Ste. 301",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "30501",
            "country_code": "US",
            "telephone_number": "770-219-9445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAYALOUNE",
        "first_name": "JOHNATHAN",
        "middle_name": "KHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-28",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "113103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel S Kwon - Athens DMD PC
• Stephanie L. Sanders
• Victoria Sanders, RBT
• Brant Sandifer, DMD
• Taylor Whitworth Sandlin, PA-C
• Kaylee Brooke Scarboro
• Hannah Schaff
• Emily Schofield
• Paul David Schofield, PA-C
• Jonathan Schuh, MD

• Family Medicine Physician in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.

Verify at the official NPI Registry.