Johnathan Milton Isom, MD, MBA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

20634 Issued in TN

Practice address

5744 Nanjack Cir
Memphis, TN 38115-2061

Phone

(901) 797-9711

Fax

(901) 797-9771

NPI assigned

Apr 26, 2006

Last updated

Dec 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL, GA2 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 2

Specialty

Anesthesiology

Education

Medical College of Wisconsin, 1985

Medicare assignment

May accept Medicare assignment

Group practices

Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
• Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellstar Medical Group, LLC

  dba WellStar Family Medicine ACW

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment Care Compare group NPD
• Mak Anesthesia Holdings LLC

  • Anesthesiology Physician
  • Kennesaw, GA
  • NPI 1912452939
  Medicare reassignment Care Compare group
• Georgia Anesthesiologists, PC

  • Anesthesiology Physician
  • Woodstock, GA
  • NPI 1740299197
  Medicare reassignment NPD
• USA Health Anesthesia Billing Services, LLC

  • Anesthesiology Physician
  • Mobile, AL
  • NPI 1629635818
  Medicare reassignment NPD
• Anesthesia Associates of Memphis, Inc.

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1497711998
  NPD (past) Authorized official
• Reed Isom Cabigao Anesthesia PLLC

  dba Ric Anesthesia Associates

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1295791796
  Authorized official Same address or phone
• The Akeso Group

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1336454313
  Authorized official Same address or phone
• The Akeso Group

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1902277429
  Authorized official Same address or phone
• The Akeso Group - Vicksburg

  • Anesthesiology Physician
  • Vicksburg, MS
  • NPI 1366746588
  Authorized official Same address or phone
• American Anesthesiology of Tennessee, P.C.

  • Anesthesiology Physician
  • Knoxville, TN
  • NPI 1609822998
  NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Wellstar Medical Group, LLC

  dba WellStar Cherokee Street Internal & Preventive Medicine

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1750687463
  NPD

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

• Cobb Hospital, Inc

  dba Wellstar Cobb Hospital

  • General Acute Care Hospital
  • Austell, GA
  • NPI 1467420448
  Care Compare affiliation
• Kennestone Hospital, Inc.

  dba Wellstar Kennestone Hospital

  • General Acute Care Hospital
  • Marietta, GA
  • NPI 1649248626
  Care Compare affiliation

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1609832690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383020400",
            "telephone_number": "731-425-5752",
            "fax_number": "731-422-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5744 NANJACK CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152061",
            "telephone_number": "901-797-9711",
            "fax_number": "901-797-9771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383013923",
            "country_code": "US",
            "telephone_number": "731-541-7070",
            "fax_number": "731-541-7075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISOM",
        "first_name": "JOHNATHAN",
        "middle_name": "MILTON",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "20634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3030932",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "302I059810",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy R Ishmael, BA
• Mohammad Safiqul Islam
• Lucas Isley
• Mohammad Kashif Ismail, MD
• Angela Shade Isom, RN
• Lisa Isom
• Martina Hurt Isom, MS
• Rico De'Andre Isom
• Cynthia L Issaac-Wooten
• Nazih Isseh, MD

• Anesthesiology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Anesthesiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.