Individual provider Active NPI

Jon D Horn, MD

  • Diagnostic Radiology Physician
  • Gainesville, GA
National Provider Identifier
1376599548
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
057821 Issued in GA
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

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30BDNFFOtherMEDICARE ID
518091314MedicaidGA
518091314BNMedicaidGA
I74331MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO, CT, AZ, WY, WA, NM, TX8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20061010000307 GA Practitioner - Diagnostic Radiology 3870573777 Reassigns benefits to 16 organizations
I20250505002753 CO Practitioner - Diagnostic Radiology 3870573777 Reassigns benefits to 1 organization
I20250908003134 CT Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3870573777 Reassigns benefits to 4 organizations
I20250911001706 AZ Practitioner - Diagnostic Radiology 3870573777 Reassigns benefits to 2 organizations
I20251120004394 WY Practitioner - Diagnostic Radiology 3870573777 Reassigns benefits to 2 organizations
I20251229001831 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3870573777 Reassigns benefits to 1 organization
I20260506003982 NM Practitioner - Diagnostic Radiology 3870573777 Reassigns benefits to 1 organization
I20260601003611 TX Practitioner - Diagnostic Radiology 3870573777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians
Farmington Imaging Center LLCGroup PAC ID 7719265651, 68 clinicians
Jefferson Radiology PCGroup PAC ID 8729982525, 121 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Yampa Valley Medical CenterGroup PAC ID 5890685689, 128 clinicians
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Mountain Radiology IncGroup PAC ID 4688666761, 77 clinicians
Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057821GAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince May 18, 2025 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Diagnostic Radiology CurrentSince May 22, 2025 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jun 26, 2025 Accepting new patients
Yampa Valley Medical Center CurrentSince Mar 17, 2025 Accepting new patients
Cache Valley Vein Vascular & Interventional Radiology CurrentSince Jul 1, 2025 Accepting new patients
Mountain Radiology, Inc Diagnostic Radiology CurrentSince May 8, 2025 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Jul 26, 2025 Accepting new patients
Gainesville Radiology Group, PC Diagnostic Radiology CurrentSince Oct 1, 2017 Accepting new patients
Yampa Valley Medical Center CurrentSince Mar 17, 2025 Accepting new patients
Tic, LLC Diagnostic Radiology CurrentSince Apr 19, 2025 Accepting new patients
Connecticut Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 20, 2025 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince May 10, 2025 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Apr 7, 2025 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jun 26, 2025 Accepting new patients
Farmington Imaging Center, LLC Diagnostic Radiology CurrentSince May 20, 2025 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jun 26, 2025 Accepting new patients
Multicare Health System CurrentSince Dec 3, 2025 Accepting new patients
Multicare Health System CurrentSince Dec 3, 2025 Accepting new patients
Jefferson Radiology, PC Diagnostic Radiology CurrentSince Jan 13, 2025 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Sep 6, 2025 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

  • Direct secure messaging: jhorn468714@direct.stlukeshealth.org
  • FHIR API: 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.

View all 30

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.