Individual provider Active NPI

John Wesley Turner, PA

  • Physician Assistant
  • Lula, GA
National Provider Identifier
1679512214
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001482 Issued in GA
Practice address
5013 Cagle Mill Rd
Lula, GA 30554-2727
Phone
(770) 869-9791
NPI assigned
Jun 6, 2006
Last updated
Jul 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001482 GA Primary

Addresses

Primary practice location

5013 Cagle Mill Rd
Lula, GA 30554-2727

Mailing address

2696 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2535
Phone (770) 771-5570

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060623000209 GA Practitioner - Physician Assistant 6507878105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reagan Medical Center LLCGroup PAC ID 6507779329, 16 clinicians

Practice addresses (Care Compare)

2878 Five Forks Trickum Rd
Lawrenceville, GA 30044-5896
Phone (678) 344-8700

289 Grayson Hwy
Lawrenceville, GA 30046-5726
Phone (678) 344-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1482GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reagan Medical Center LLC CurrentSince Apr 18, 2020 Accepting new patients

Locations

2878 Five Forks Trickum Rd
Ste 2A
Lawrenceville, GA 30044
Phone 6783448700178

289 Grayson Hwy
Lawrenceville, GA 30046
Phone (678) 376-1300

2696 Lawrenceville Suwanee Rd
Suwanee, GA 30024
Phone (678) 376-1300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1679512214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 LAWRENCEVILLE SUWANEE RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242535",
            "telephone_number": "770-771-5570",
            "fax_number": "678-344-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5013 CAGLE MILL RD",
            "city": "LULA",
            "state": "GA",
            "postal_code": "305542727",
            "telephone_number": "770-869-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "001482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lula, GA

Sources for this page

Verify at the official NPI Registry.