Active NPI
Jon D Horn, MD
- Diagnostic Radiology Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 057821
- Practice address
- 200 W Academy Street
Gainesville, GA 30501 - Phone
- (770) 282-8820
- NPI assigned
- May 26, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 057821 | GA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 17433 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 057821 | GA | Primary |
Addresses
Primary practice location
200 W Academy Street
Gainesville, GA 30501
Mailing address
107 Church St
Jefferson, GA 30549
Phone (770) 630-4562
Other practice location 1
316 N Broad Street
WInder, GA 30580-2129
Phone (770) 307-5280
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30BDNFF | Other | MEDICARE ID | |
| 518091314 | Medicaid | GA | |
| 518091314BN | Medicaid | GA | |
| I74331 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CO, CT, AZ, WY, WA, NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
100 Hazard Ave
Suite 100
Enfield, CT 06082-5447
Phone (860) 289-3375
1011 Shoreline Dr
Jefferson, GA 30549-2144
Phone (860) 289-3375
102 Grand Cres
Alpharetta, GA 30009-6817
Phone (623) 299-8743
1024 Central Park Dr
Steamboat SPR, CO 80487-8813
Phone (970) 879-1322
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (832) 915-2534
14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (832) 915-2534
222 Green Island Rd
Savannah, GA 31411-1204
Phone (864) 987-1833
314 Valley Brook Way NE
Atlanta, GA 30342-3377
Phone (818) 639-2901
3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone (915) 832-2000
399 Farmington Ave
Suite 130
Farmington, CT 06032-1944
Phone (860) 289-3375
45 Kalurah St
Jefferson, GA 30549-1057
Phone (866) 722-1655
513 Rivercliff Trce
Marietta, GA 30067-4689
Phone (866) 579-1110
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (832) 915-2534
6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534
6861 Copper Oaks CT
Columbus, GA 31904-2281
Phone (505) 225-8476
8048 Innisbrook CT
Columbus, GA 31909-2089
Phone (713) 461-3573
85 Seymour St
Suite 200
Hartford, CT 06106-5509
Phone (860) 289-3375
Hospital & facility affiliations
- Hartford Hospital
- Palmdale Regional Medical Center
- El Camino Health
- Banner Thunderbird Medical Center
- Sunrise Hospital and Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057821 | GA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Medical Imaging Associates of Idaho Falls, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Yampa Valley Medical Center | Current | Accepting new patients | |
| Cache Valley Vein | Vascular & Interventional Radiology | Current | Accepting new patients |
| Mountain Radiology, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Silicon Valley Diagnostic Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Gainesville Radiology Group, PC | Diagnostic Radiology | Current | Accepting new patients |
| Yampa Valley Medical Center | Current | Accepting new patients | |
| Tic, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Connecticut Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Specialists LTD Marasso-Miller | Diagnostic Radiology | Current | Accepting new patients |
| Associated Valley Radiologists LTD | Diagnostic Radiology | Current | Accepting new patients |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Farmington Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Jefferson Radiology, PC | Diagnostic Radiology | Current | Accepting new patients |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Harbin Clinic, LLC | Past | Accepting new patients | |
| Optimal Readings Professional Services, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Yampa Valley Medical Center | Past | Accepting new patients | |
| Northside Radiology Associates LLC | Diagnostic Radiology | Past | Accepting new patients |
| Mary Black Health System LLC | Past | Accepting new patients |
Locations (25 of 51)
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980
1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
18275 N 59th Ave
Ste 168
Glendale, AZ 85308
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728
3601 S 6th Ave
Tucson, AZ 85723
1625 N Campbell Ave
Tucson, AZ 85719
815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131
2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500
Interoperability endpoints
- jhorn468714@direct.stlukeshealth.org
- https://app.meldrx.com/api/fhir/ei-jefferson
Organizations & group practices 30
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.
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1629592464
GA
-
- Diagnostic Radiology Physician
- Pocatello, ID
- NPI 1740225531
GA
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1437196979
GA
-
- Radiology Clinic/Center
- Mountain View, CA
- NPI 1629265806
Diagnostic Radiology, GA
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology, GA
-
- General Acute Care Hospital
- Steamboat Springs, CO
- NPI 1790787307
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- Palmdale, CA
- NPI 1508856535
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1861439952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1376599548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CHURCH ST",
"city": "JEFFERSON",
"state": "GA",
"postal_code": "30549",
"telephone_number": "770-630-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ACADEMY STREET",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "30501",
"telephone_number": "770-282-8820"
}
],
"practiceLocations": [
{
"address_1": "316 N Broad Street",
"address_purpose": "LOCATION",
"city": "WInder",
"state": "GA",
"postal_code": "305802129",
"country_code": "US",
"telephone_number": "770-307-5280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORN",
"first_name": "JON",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "057821",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "SC",
"license": "17433",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "057821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "30BDNFF",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "518091314",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "518091314BN",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "I74331",
"state": "SC"
}
],
"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 Jan 13, 2021; 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.