NPIMap

Individual provider Active NPI

Jon Martin McGough, M.D.

  • Internal Medicine Physician
  • Athens, GA
National Provider Identifier
1639499254
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
100840 Issued in GA
Practice address
1010 Prince Ave Ste 500
Athens, GA 30606-5812
Phone
(706) 425-1480
NPI assigned
Jun 4, 2010
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MMD.32722 LL SC
Internal Medicine Physician 207R00000X 100840 GA Primary

Addresses

Primary practice location

1010 Prince Ave Ste 500
Athens, GA 30606-5812

Mailing address

PO Box 602108
Charlotte, NC 28260-2108
Phone (843) 792-6200

Other practice location 1

490 Martello Dr
Charleston, SC 29412-2638
Phone (843) 876-1139

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmcgough4500@direct.musc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130909000295 SC Practitioner - Internal Medicine 5799928966 Reassigns benefits to 3 organizations
I20250716003882 GA Practitioner - Internal Medicine 5799928966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Athens Primary Care LLCGroup PAC ID 0648520841, 80 clinicians

Practice addresses (Care Compare)

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.96 of 100Reported as group
Quality
89.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MMD.32722 LLSCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Dec 1, 2013 Accepting new patients
Carolina Family Care, Inc CurrentSince Jul 28, 2013 Accepting new patients
Carolina Family Care Inc Internal Medicine CurrentSince Oct 14, 2013 Accepting new patients
Piedmont Athens Primary Care LLC CurrentSince Jun 1, 2025 Accepting new patients
Carolina Family Care, Inc Internal Medicine Current Accepting new patients
Carolina Family Care Inc Internal Medicine CurrentSince Jul 28, 2013 Accepting new patients
University Medical Associates of the Medical University of South Carol Internal Medicine CurrentSince Dec 1, 2013 Accepting new patients

Locations

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

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

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

490 Martello Dr
Charleston, SC 29412
Phone (843) 762-4963

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

8992 University Blvd
Ste 300
North Charleston, SC 29406
Phone (843) 876-8279

Interoperability endpoints

  • Direct secure messaging: jmcgough4500@direct.musc.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1639499254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602108",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 PRINCE AVE STE 500",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065812",
            "telephone_number": "706-425-1480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Martello Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294122638",
            "country_code": "US",
            "telephone_number": "843-876-1139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOUGH",
        "first_name": "JON",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MMD.32722 LL",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "100840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcgough4500@direct.musc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "490 Martello Dr",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294122638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.