Individual provider Active NPI

John C House, M.D.

  • Family Medicine Physician
  • Nahunta, GA
National Provider Identifier
1346348133
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
011959 Issued in GA
Practice address
9355 Main St S
Nahunta, GA 31553-6159
Phone
(912) 462-6222
Fax
(912) 462-6203
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 011959 GA Primary

Addresses

Primary practice location

9355 Main St S
Nahunta, GA 31553-6159

Mailing address

100 S Madison St
Thomasville, GA 31792-5473
Phone (229) 520-7115

Other identifiers 2

IdentifierTypeStateIssuer
032781OtherGABLUESHIELD
00038651AMedicaidGA

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
I20080715000822 GA Practitioner - Family Practice 4981777513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter Wrobel MD PC 3 clinicians

Practice addresses (Care Compare)

1720 Old Reynolds St
Waycross, GA 31501-1036
Phone 9122831359185

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Waycross, GA, CCN 117076
  • Memorial Satilla Health Hospital, Waycross, GA, CCN 110003

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11959GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Village Podiatry Group II, LLC. CurrentSince Jan 1, 2026 Accepting new patients
Peter Wrobel MD PC Family Medicine CurrentSince Jun 14, 2018 Accepting new patients
Village Podiatry Group II, LLC. Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
McKinney Community Health Ctr, Inc Past Accepting new patients

Locations

2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770

13202 Cleveland St W
Ste 200
Nahunta, GA 31553
Phone (229) 300-5896

1720 Old Reynolds St
Waycross, GA 31501
Phone (912) 809-6401

1507 Alice St
Waycross, GA 31501
Phone (912) 283-7220

Interoperability endpoints

  • Direct secure messaging: john.house.1@27501.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1346348133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MADISON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925473",
            "telephone_number": "229-520-7115",
            "fax_number": "229-236-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9355 MAIN ST S",
            "city": "NAHUNTA",
            "state": "GA",
            "postal_code": "315536159",
            "telephone_number": "912-462-6222",
            "fax_number": "912-462-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "011959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "032781",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00038651A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nahunta, GA

Sources for this page

Verify at the official NPI Registry.