Individual provider Active NPI

Jason M Pfluke, M.D.

  • Surgery Physician
  • Athens, GA
National Provider Identifier
1568646362
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
84965 Issued in GA
Practice address
242 King Avenue
Suite 220
Athens, GA 30606
Phone
(706) 475-7110
NPI assigned
Dec 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DR.0060658 CO
Surgery Physician 208600000X 04-31931 KS
Surgery Physician 208600000X ME104200 FL
Surgery Physician 208600000X N6580 TX
Surgery Physician 208600000X 84965 GA Primary

Addresses

Primary practice location

242 King Avenue
Suite 220
Athens, GA 30606

Mailing address

4102 Pinion Dr
Usaf Academy, CO 80840-2502
Phone (719) 333-5962

Other practice location 1

1400 E Boulder St Ste 600
Colorado Springs, CO 80909-5533
Phone (719) 364-6487

Other practice location 2

4102 Pinion Dr
Usaf Academy, CO 80840
Phone (719) 333-5962

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603002108 GA Practitioner - General Surgery 2567517626 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Athens Hospitalist Physicians LLCGroup PAC ID 6305196411, 174 clinicians

Practice addresses (Care Compare)

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-31931KSMDSurgery Physician
N6580TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC CurrentSince Jun 2, 2022 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Jun 15, 2020 Accepting new patients
Piedmont Athens Specialty Care LLC Surgery CurrentSince Jun 15, 2020 Accepting new patients
Piedmont Athens Regional Medical Center, Inc. Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171

1301 Sigman Rd NE
Ste 180
Conyers, GA 30012
Phone (678) 609-4913

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

4181 Hospital Dr NE
Ste 303
Covington, GA 30014
Phone (770) 787-6957

380 Hospital Dr
Ste 320
Macon, GA 31217
Phone (478) 742-5331

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

Organizations & group practices 4

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.

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1568646362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5962",
            "fax_number": "719-333-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 KING AVENUE",
            "address_2": "SUITE 220",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-475-7110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Boulder St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-364-6487",
            "fax_number": "719-364-6488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4102 Pinion Dr",
            "address_purpose": "LOCATION",
            "city": "Usaf Academy",
            "state": "CO",
            "postal_code": "80840",
            "country_code": "US",
            "telephone_number": "719-333-5962",
            "fax_number": "719-333-5670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFLUKE",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0060658",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-31931",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME104200",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N6580",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "84965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.