Active NPI
Jeffrey N McIntire, M.D.
- Diagnostic Radiology Physician
- Gainesville, GA
National Provider Identifier
1356439541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 033142
- Practice address
- 1250 Jesse Jewell Pkwy SE Ste 500
Gainesville, GA 30501-3865 - Phone
- (770) 531-2444
- Fax
- (770) 534-9877
- NPI assigned
- Oct 11, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 033142 | GA | Primary |
Addresses
Primary practice location
1250 Jesse Jewell Pkwy SE Ste 500
Gainesville, GA 30501-3865
Mailing address
PO Box 2438
Gainesville, GA 30503-2438
Phone (770) 531-2444
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89066X8 | Medicaid | NC | |
| 000429701E | Medicaid | GA | |
| 000429701F | Medicaid | GA | |
| 1457553968 | Other | GA | RAILROAD MEDICARE GROUP NPI# |
| GRP7496 | Other | GA | MEDICARE GRP PROV # |
| 1356439541 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240444800000",
"number": "1356439541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2438",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305032438",
"telephone_number": "770-531-2444",
"fax_number": "770-534-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 JESSE JEWELL PKWY SE STE 500",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013865",
"telephone_number": "770-531-2444",
"fax_number": "770-534-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTIRE",
"first_name": "JEFFREY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2009-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "033142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89066X8",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000429701E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000429701F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP NPI#",
"identifier": "1457553968",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GRP PROV #",
"identifier": "GRP7496",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "1356439541",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.