Individual provider Active NPI

John Joseph Kemerer, D.O.

  • Family Medicine Physician
  • Athens, OH
National Provider Identifier
1386696599
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14998 Issued in FL
Practice address
2 Health Center Drive
Athens, OH 45701
Phone
(740) 593-1660
Fax
(740) 593-0179
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34010538 OH
Family Medicine Physician 207Q00000X 5101010925 MI
Family Medicine Physician 207Q00000X OS14998 FL Primary

Addresses

Primary practice location

2 Health Center Drive
Athens, OH 45701

Mailing address

2 Health Center Drive
Athens, OH 45701
Phone (740) 593-1660

Other identifiers 2

IdentifierTypeStateIssuer
0065404MedicaidOH
3040574MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120629000116 OH Practitioner - Family Practice 4385657022 Reassigns benefits to 1 organization
I20180518000198 FL Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 4385657022 Reassigns benefits to 4 organizations
I20180625003152 GA Practitioner - Emergency MedicinePractitioner - Family Practice 4385657022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

462541 State Rd
Suite 200
Yulee, FL 32097-5421
Phone (904) 391-6300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
10926MIMDGeneral Practice Dentistry
5101010925MIMDFamily Medicine Physician
34010538OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Oliver Emergency Group, LLC CurrentSince Jun 16, 2022 Accepting new patients
Lake Oliver Emergency Group, LLC CurrentSince Jun 16, 2022 Accepting new patients
Coastal Community Health Services, Inc. CurrentSince Feb 19, 2024 Accepting new patients
Ohio Emergency Professionals Inc CurrentSince Mar 1, 2015 Accepting new patients
Florida Post Acute Care Clinicians, LLC Family Medicine CurrentSince Apr 16, 2018 Accepting new patients
Coastal Community Health Services, Inc. CurrentSince Sep 23, 2024 Accepting new patients
Florida Post Acute Care Clinicians, LLC Family Medicine CurrentSince Apr 16, 2018 Accepting new patients
Paragon Emergency Services LLC CurrentSince Jun 5, 2019 Accepting new patients
Coastal Community Health Services Inc CurrentSince Feb 19, 2024 Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Saginaw Psoriasis & Skin Center PastSince Dec 1, 2006 Accepting new patients
Ohio Valley Physicians Inc Family Medicine Past Accepting new patients
University Medical Associates Inc. Past Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services Inc Past Accepting new patients
Valley Urgent Care P.C. Family Medicine PastSince Aug 1, 1996 Accepting new patients
Sophros Recovery LLC Past Accepting new patients
Angelic Clinical Services, LLC Past Accepting new patients

Locations

22385 Flora Parke Xing
Fernandina Beach, FL 32034
Phone (904) 404-8641

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 612-7385

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

1605 Kingsley Ave
Orange Park, FL 32073
Phone (904) 264-9555

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

462541 State Road 200
Yulee, FL 32097
Phone (904) 391-6300

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

100 Professional Center Dr
Brunswick, GA 31525

1600 Ellis St
Brunswick, GA 31520
Phone (912) 289-2006

2747 4th St
Brunswick, GA 31520
Phone (912) 262-2347

1022 Miller Ln SW
Darien, GA 31305
Phone (912) 257-8028

202 Lakeshore Dr
Saint Marys, GA 31558
Phone (912) 534-3085

1299 Highway 57
Townsend, GA 31331
Phone (912) 574-5277

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710

Interoperability endpoints

  • Direct secure messaging: john.kemerer.1@17881.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17881/brand/1/csg/1/fhir/r4

Organizations & group practices 20

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 20

Hospital & facility affiliations 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1386696599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HEALTH CENTER DRIVE",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-593-1660",
            "fax_number": "740-593-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HEALTH CENTER DRIVE",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-593-1660",
            "fax_number": "740-593-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMERER",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34010538",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010925",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065404",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3040574",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.