Individual provider Active NPI

Jonathan G Velasquez, MD

  • Internal Medicine Physician
  • Perry, GA
National Provider Identifier
1366528309
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048581 Issued in GA
Practice address
1120 Morningside Dr
Perry Hospital Emergency Department
Perry, GA 31069-4948
Phone
(478) 997-9237
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 048581 GA Primary

Addresses

Primary practice location

1120 Morningside Dr
Perry Hospital Emergency Department
Perry, GA 31069-4948

Mailing address

1030 Cherokee Rd
Perry, GA 31069-2243
Phone (478) 997-9237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041230000134 GA Practitioner - Internal Medicine 3779541255 Reassigns benefits to 6 organizations
I20140415001711 GA Practitioner - Emergency Medicine 3779541255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peach Emergency Group LLCGroup PAC ID 2567628993, 26 clinicians

Practice addresses (Care Compare)

1960 Ga Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-8400

Hospital & facility affiliations

  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069
  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048581GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC CurrentSince Feb 1, 2014 Accepting new patients
Baldwin Emergency Group, LLC CurrentSince May 15, 2023 Accepting new patients
Urgent Care Center of Central Georgia LLC CurrentSince Jan 4, 2016 Accepting new patients
Houston Hospitals Inc CurrentSince Jan 1, 2009 Accepting new patients
Georgia Em-I Medical Services, LLC CurrentSince May 28, 2010 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Aug 1, 2012 Accepting new patients
Georgia Em-I Medical Services. LLC Current Accepting new patients
Peach Emergency Group LLC CurrentSince May 22, 2023 Accepting new patients
Houston County Emergency Group, LLC CurrentSince Feb 1, 2014 Accepting new patients
T M Carr MD PC Past Accepting new patients
Shiloh Emergency Physicians LLC Past Accepting new patients
Houston Hospitals Inc Past Accepting new patients

Locations

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1118 Morningside Dr
Ste A
Perry, GA 31069
Phone (478) 218-1420

113 Willie Lee Pkwy
Warner Robins, GA 31088
Phone (478) 333-6688

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jvelasquez1219516@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 12

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 3

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1366528309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 CHEROKEE RD",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692243",
            "telephone_number": "478-997-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MORNINGSIDE DR",
            "address_2": "PERRY HOSPITAL EMERGENCY DEPARTMENT",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310694948",
            "telephone_number": "478-997-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "JONATHAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.