John Bishop, M.D.
Individual provider Active NPI Surgery Physician · Swainsboro, GA
NPI 1356405229 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1356405229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 35377 (GA)
- Practice address
- 120A Victory Dr
Swainsboro, GA 30401-3235 - Phone
- (478) 237-3291
- Fax
- (478) 237-4344
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Loma Linda University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emanuel County Hospital Authority
Practice addresses (Care Compare)
117 Kite Rd
Swainsboro, GA 30401-3231
Phone (478) 289-1341
119 B Victory Dr
Swainsboro, GA 30401-3234
Phone (478) 237-7676
125 A Victory Dr
Swainsboro, GA 30401-3234
Phone (478) 289-3190
Hospital & facility affiliations
- Emanuel Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 15 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220214002480 | GA | Practitioner - General Surgery | 5890680458 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanuel County Hospital Authority | Current |
Accepting new patients | |
| Emanuel County Hospital Authority | Surgery | Current | Accepting new patients |
| Vidalia Surgical Associates, LLC | Past | Accepting new patients | |
| Brad Headley MD Facs LLC | Surgery | Past |
Accepting new patients |
Locations
131A Victory Dr
Swainsboro, GA 30401
Phone (478) 237-8342
117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725
131 Victory Dr
#C
Swainsboro, GA 30401
120A Victory Dr
Swainsboro, GA 30401
Phone (478) 237-3291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 42079 | CO | |
| Surgery Physician | 208600000X | 35377 | GA | Yes |
Addresses
Primary practice location
120A Victory Dr
Swainsboro, GA 30401-3235
Mailing address
120A Victory Dr
Swainsboro, GA 30401-3235
Phone (478) 237-3291
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35377 | Other | GA | GEORGIA MEDICAL BOARD |
Other providers in Swainsboro, GA
- Joanna Wedincamp Bell
- Jimmy D. Bellamy
- Sara Bennett
- Bennetts Landing Inc
- Bio-Medical Applications of Georgia, Inc
- BMW Ventures Inc
- BMW Ventures, Inc.
- BMW Ventures, Inc.
- Brad Headley MD Facs LLC
- Leila Smith Bragg
All providers in Swainsboro, GA · Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.