John Champ Neely II, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A149450 Issued in CA

Practice address

240 Highland Dr
Many, LA 71449-3718

Phone

(318) 256-5691

NPI assigned

May 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, CA, MT, NM4 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 4

Specialty

Emergency Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powell County Memorial Hospital Association Inc.Group PAC ID 6103734728, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deer Lodge Medical Center Hospital, Deer Lodge, MT, CCN 271314
• Sidney Health Center Hospital, Sidney, MT, CCN 271344

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Powell County Memorial Hospital Association Inc

  • Critical Access Hospital
  • Deer Lodge, MT
  • NPI 1275560617

  MT

  Medicare reassignment Care Compare group NPD
• Powell County Memorial Hospital Association Inc

  • Family Medicine Physician
  • Deer Lodge, MT
  • NPI 1841414026

  MT

  Medicare reassignment Care Compare group NPD
• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974

  Emergency Medicine, NM

  Medicare reassignment NPD
• Grand Avenue Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1962913632

  CA, Emergency Medicine

  Medicare reassignment NPD
• Hospital Care Consultants Region II Inc

  • Internal Medicine Physician
  • West Memphis, AR
  • NPI 1558491449

  Internal Medicine, NM

  Medicare reassignment NPD
• Huntington Park Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Huntington Park, CA
  • NPI 1053747121

  CA, Emergency Medicine

  Medicare reassignment NPD
• Pinnacle Emergency Physicians of Bakersfield, a Professional Corp

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1619153251

  CA, Emergency Medicine

  Medicare reassignment NPD
• SCL Health Medical Group-Butte LLC

  • Family Medicine Physician
  • Butte, MT
  • NPI 1477869600

  MT

  Medicare reassignment NPD
• Sidney Health Center

  • Critical Access Hospital
  • Sidney, MT
  • NPI 1285719161

  MT

  Medicare reassignment NPD
• Sidney Health Center

  • Clinic/Center
  • Sidney, MT
  • NPI 1376617191

  MT

  Medicare reassignment NPD
• T M Carr MD PC

  • Emergency Medicine Physician
  • Dyersburg, TN
  • NPI 1992706097

  Emergency Medicine, TN

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  Internal Medicine, MT

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Powell County Memorial Hospital Association Inc

  • Critical Access Hospital
  • Deer Lodge, MT
  • NPI 1275560617

  Hospital

  Care Compare affiliation
• Sidney Health Center

  • Critical Access Hospital
  • Sidney, MT
  • NPI 1285719161

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1528292471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 VIA VERA CRUZ STE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782645",
            "telephone_number": "904-643-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HIGHLAND DR",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493718",
            "telephone_number": "318-256-5691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Miguel Chavez Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875051111",
            "country_code": "US",
            "telephone_number": "505-954-4422",
            "fax_number": "505-954-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELY",
        "first_name": "JOHN",
        "middle_name": "CHAMP",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "MD2022-1046",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "51688",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.205104",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A149450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2157621",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Lashay Miller, MSW, CSW
• Leigh Anne Mitchell
• Shanteria Shontrece Montgomery, BS
• Patrick Morgan, RPH
• Natchitoches Outpatient Services
• Gabrielle Latari Newton, NP
• Nexion Health at Many North, Inc.
• Nexion Health at Many South, Inc.
• Nichols Med Eval, LLC
• Nichols Med Eval, LLC

• All providers in Many, LA
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.

Verify at the official NPI Registry.