Individual provider Active NPI

John Clifton McGhee III

  • Family Nurse Practitioner
  • Eatonton, GA
National Provider Identifier
1477094647
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN219193 Issued in GA
Practice address
121 Harmony Xing Ste 1
Eatonton, GA 31024-9573
Phone
(762) 220-1222
Fax
(877) 569-2615
NPI assigned
Mar 20, 2017
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN219193 GA Primary

Addresses

Primary practice location

121 Harmony Xing Ste 1
Eatonton, GA 31024-9573

Mailing address

121 Harmony Xing Ste 1
Eatonton, GA 31024-9573
Phone (762) 220-1222

Other practice location 1

107 Old Montgomeryville Rd NE Ste A
Milledgeville, GA 31061-8362
Phone (762) 220-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725000182 GA Practitioner - Nurse Practitioner 1254688005 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN219193GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Herdoc, LLC PastSince Sep 20, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1477094647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HARMONY XING STE 1",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249573",
            "telephone_number": "762-220-1222",
            "fax_number": "877-569-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HARMONY XING STE 1",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249573",
            "telephone_number": "762-220-1222",
            "fax_number": "877-569-2615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Old Montgomeryville Rd NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310618362",
            "country_code": "US",
            "telephone_number": "762-220-1222",
            "fax_number": "877-569-2615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGHEE",
        "first_name": "JOHN",
        "middle_name": "CLIFTON",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN219193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

Verify at the official NPI Registry.