Individual provider Active NPI

Jason Terrance Wells, MD

  • Surgery Physician
  • Winder, GA
National Provider Identifier
1316159676
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
81174 Issued in GA
Practice address
316 N Broad St
Winder, GA 30680-2150
Phone
(770) 867-3400
NPI assigned
May 7, 2007
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301110953 MI
Surgery Physician 208600000X 81174 GA Primary

Addresses

Primary practice location

316 N Broad St
Winder, GA 30680-2150

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

203 Medical Blvd
Stockbridge, GA 30281-7218
Phone (678) 604-1000

Other practice location 2

475 Hansell St., S.E
Cairo, GA 39828-3071
Phone (713) 859-2854

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwells203209@nghs.gadirect.net Direct

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
I20180913000774 GA Practitioner - General Surgery 1254580590 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Michigan Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Affiliates of CaliforniaGroup PAC ID 3375782667, 12 clinicians

Practice addresses (Care Compare)

316 N Broad St
Winder, GA 30680-2150
Phone (770) 307-5400

35 Hospital Rd
Blairsville, GA 30512-3139
Phone 70674521116137

355 Clear Creek Pkwy
Suite 1004
Lavonia, GA 30553-4271
Phone (706) 750-0045

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81174GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elbert Memorial Hospital Surgery CurrentSince Oct 3, 2022 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Jun 22, 2020 Accepting new patients
Elbert Memorial Hospital CurrentSince Oct 3, 2022 Accepting new patients
Cairo Medical Care, LLC CurrentSince Sep 1, 2018 Accepting new patients
Northeast Georgia Physicians Group Inc Surgery CurrentSince Sep 12, 2024 Accepting new patients

Locations

1178 5th St SE
Cairo, GA 39828
Phone (229) 377-2002

475 Hansell St SE
Cairo, GA 39828
Phone (229) 377-2002

33 Chestnut St
Elberton, GA 30635
Phone (706) 213-2580

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

100 Bull St
Ste 200
Savannah, GA 31401
Phone (770) 478-3013

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1316159676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802150",
            "telephone_number": "770-867-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Medical Blvd",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817218",
            "country_code": "US",
            "telephone_number": "678-604-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Hansell St., S.E",
            "address_purpose": "LOCATION",
            "city": "Cairo",
            "state": "GA",
            "postal_code": "398283071",
            "country_code": "US",
            "telephone_number": "713-859-2854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JASON",
        "middle_name": "TERRANCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301110953",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "81174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwells203209@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "316 N Broad St",
            "city": "Winder",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306802150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

Verify at the official NPI Registry.