Active NPI
Jonathan Daniel Stegall, M.D.
- Medical Oncology Physician
- Alpharetta, GA
National Provider Identifier
1679890594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 69967
- Practice address
- 3333 Old Milton Pkwy Ste 560
Alpharetta, GA 30005-4437 - Phone
- (770) 551-2730
- Fax
- (770) 551-2731
- NPI assigned
- May 3, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 069967 | GA | |
| Medical Oncology Physician | 207RX0202X | 69967 | GA | Primary |
Addresses
Primary practice location
3333 Old Milton Pkwy Ste 560
Alpharetta, GA 30005-4437
Mailing address
3333 Old Milton Pkwy Ste 560
Alpharetta, GA 30005-4437
Phone (770) 551-2730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 20, 2019 through Aug 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069967 | GA | MD | Internal Medicine Physician |
| 69967 | GA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1679890594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 OLD MILTON PKWY STE 560",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054437",
"telephone_number": "770-551-2730",
"fax_number": "770-551-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 OLD MILTON PKWY STE 560",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054437",
"telephone_number": "770-551-2730",
"fax_number": "770-551-2731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEGALL",
"first_name": "JONATHAN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-03",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "069967",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "GA",
"license": "69967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.