Active NPI
Jason Daniel Hatcher, DO
- Family Medicine Physician
- Warner Robins, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 050635
- Practice address
- 233 N Houston Rd
Suite 140-E
Warner Robins, GA 31093-3074 - Phone
- (478) 975-6880
- Fax
- (478) 975-6879
- NPI assigned
- May 31, 2005
- Reactivated
- Mar 27, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 050635 | GA | Primary |
| Family Medicine Physician | 207Q00000X | OS8371 | FL |
Addresses
Primary practice location
233 N Houston Rd
Suite 140-E
Warner Robins, GA 31093-3074
Mailing address
233 N Houston Rd
Suite 140-E
Warner Robins, GA 31093-3074
Phone (478) 975-6880
Other practice location 1
1107 E 66th St
Savannah, GA 31404-5701
Phone (912) 350-8404
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003133193B | Medicaid | GA | |
| 264807500 | Medicaid | FL | |
| OS8371 | Other | FL | FL LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050635 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians, P.C. | Current | Accepting new patients | |
| 24 On Physicians, PC | Current | Accepting new patients | |
| Houston Hospitals Inc | Past | Accepting new patients | |
| Washington County Healthcare Authority, Inc | Past | Accepting new patients | |
| Panhandle Family Medicine PA | Family Medicine | Past | Accepting new patients |
Locations
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Rome, GA
- NPI 1912956251
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
- General Acute Care Hospital
- Perry, GA
- NPI 1891808499
-
- Family Medicine Physician
- Chipley, FL
- NPI 1245251487
-
- General Practice Physician
- Chatom, AL
- NPI 1437330438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1699778944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 N HOUSTON RD",
"address_2": "SUITE 140-E",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933074",
"telephone_number": "478-975-6880",
"fax_number": "478-975-6879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 N HOUSTON RD",
"address_2": "SUITE 140-E",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933074",
"telephone_number": "478-975-6880",
"fax_number": "478-975-6879"
}
],
"practiceLocations": [
{
"address_1": "1107 E 66th St",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314045701",
"country_code": "US",
"telephone_number": "912-350-8404",
"fax_number": "912-350-8067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATCHER",
"first_name": "JASON",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2018-11-08",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "050635",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS8371",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003133193B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264807500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE",
"identifier": "OS8371",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.