Individual provider Active NPI

John Hugh Steely, M.D.

  • Family Medicine Physician
  • Kings Bay, GA
National Provider Identifier
1508814682
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
81560 Issued in FL
Practice address
881 Uss James Madison Rd
Naval Submarine Base Kings Bay
Kings Bay, GA 31547-2531
Phone
(912) 573-8801
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 81560 FL Primary

Addresses

Primary practice location

881 Uss James Madison Rd
Naval Submarine Base Kings Bay
Kings Bay, GA 31547-2531

Mailing address

881 Uss James Madison Rd
Naval Submarine Base Kings Bay
Kings Bay, GA 31547-2531
Phone (912) 573-8801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171219002495 CA Practitioner - Family Practice 6204882954 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jurkowski Medical CorporationGroup PAC ID 7911155304, 16 clinicians

Practice addresses (Care Compare)

10605 Scripps Poway Pkwy
Suite Bandc
San Diego, CA 92131-3925
Phone (858) 622-0554

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151891CAMDMarriage & Family Therapist
81560FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jurkowski Medical Corporation Family Medicine CurrentSince Oct 10, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 28, 2018 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Two Zeds Medical Corporation Family Medicine CurrentSince Oct 11, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 28, 2018 Accepting new patients
Adventhealth Primary Care Network Inc Family Medicine Past Accepting new patients
Memorial Hospital Flagler Inc Past Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine PastSince Oct 10, 2017 Accepting new patients

Locations

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

10605 Scripps Poway Pkwy
Ste B
San Diego, CA 92131
Phone (858) 622-0554

10605 Scripps Poway Pkwy
Ste C
San Diego, CA 92131
Phone (858) 622-0554

3830 Valley Centre Dr
Ste 702
San Diego, CA 92130
Phone (858) 720-0554

10605 Scripps Poway Pkwy
San Diego, CA 92131
Phone (858) 622-0554

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1508814682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 USS JAMES MADISON RD",
            "address_2": "NAVAL SUBMARINE BASE KINGS BAY",
            "city": "KINGS BAY",
            "state": "GA",
            "postal_code": "315472531",
            "telephone_number": "912-573-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 USS JAMES MADISON RD",
            "address_2": "NAVAL SUBMARINE BASE KINGS BAY",
            "city": "KINGS BAY",
            "state": "GA",
            "postal_code": "315472531",
            "telephone_number": "912-573-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELY",
        "first_name": "JOHN",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "81560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Bay, GA

Sources for this page

Verify at the official NPI Registry.