Individual provider Active NPI

John Clay McHugh, M.D.

  • Urology Physician
  • Gainesville, GA
National Provider Identifier
1316946080
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
024023 Issued in GA
Practice address
660-A Lanier Park Drive
Gainesville, GA 30501-2075
Phone
(770) 535-0000
Fax
(770) 532-3911
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01024023 GA
Urology Physician 208800000X 024023 GA Primary

Addresses

Primary practice location

660-A Lanier Park Drive
Gainesville, GA 30501-2075

Mailing address

660-A Lanier Park Drive
Gainesville, GA 30501-2075
Phone (770) 535-0000

Other identifiers 1

IdentifierTypeStateIssuer
00276152BMedicaidGA

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
I20101208000234 GA Practitioner - Urology 4981754876 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01024023GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Urological Assoc., P.C. CurrentSince May 20, 1994 Accepting new patients

Locations

660 Lanier Park Dr
Ste A
Gainesville, GA 30501
Phone (770) 535-0000

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc32209_northeastgeorgiaurologicassoc

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.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1316946080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660-A LANIER PARK DRIVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012075",
            "telephone_number": "770-535-0000",
            "fax_number": "770-532-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660-A LANIER PARK DRIVE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012075",
            "telephone_number": "770-535-0000",
            "fax_number": "770-532-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHUGH",
        "first_name": "JOHN",
        "middle_name": "CLAY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "01024023",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "024023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00276152B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.