Active NPI
John C House, M.D.
- Family Medicine Physician
- Nahunta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 011959
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032781 | Other | GA | BLUESHIELD |
| 00038651A | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
1720 Old Reynolds St
Waycross, GA 31501-1036
Phone 9122831359185
Hospital & facility affiliations
- Amedisys Home Health
- Memorial Satilla Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11959 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Podiatry Group II, LLC. | Current | Accepting new patients | |
| Peter Wrobel MD PC | Family Medicine | Current | Accepting new patients |
| Village Podiatry Group II, LLC. | Family Medicine | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Atlanta, GA
- NPI 1427540699
Family Medicine, GA
-
- Podiatrist
- Royston, GA
- NPI 1659918969
-
- Federally Qualified Health Center (FQHC)
- Blackshear, GA
- NPI 1568623346
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Waycross, GA
- NPI 1316120322
-
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.