Individual provider Active NPI

John Golden Stevens Jr., MD

  • Anesthesiology Physician
  • Newnan, GA
National Provider Identifier
1710973797
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036881 Issued in GA
Practice address
80 Newnan Station Drive, Suite a
Newnan, GA 30265
Phone
(770) 251-2060
Fax
(678) 854-9235
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036881 GA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036881 GA

Addresses

Primary practice location

80 Newnan Station Drive, Suite a
Newnan, GA 30265

Mailing address

Post Office Box 73709
Newnan, GA 30271-3709
Phone (770) 251-2060

Other identifiers 1

IdentifierTypeStateIssuer
000542099DMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050429000516 GA Practitioner - Anesthesiology 1355380247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Georgia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians

Practice addresses (Care Compare)

126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 924-6011

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Crescent Anesthesiology, PC Anesthesiology CurrentSince Apr 1, 2012 Accepting new patients
Sentry Anesthesia Management, LLC Anesthesiology CurrentSince May 2, 2014 Accepting new patients
Harbin Clinic, LLC Past Accepting new patients

Locations

605 N Westover Blvd
Albany, GA 31707
Phone (229) 434-4200

1048 E Forsyth St
Americus, GA 31709
Phone (229) 924-6011

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

3215 Shrine Rd
Ste 8
Brunswick, GA 31520
Phone (912) 264-9024

795 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 629-1852

7351 Old Moon Rd
Columbus, GA 31909
Phone (706) 221-2721

2548 Weems Rd
Columbus, GA 31909
Phone (404) 265-4000

425 Forest Pkwy
Forest Park, GA 30297
Phone 4043639944 ext. 1112

730 S 8th St
Griffin, GA 30224
Phone (770) 228-6644

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

6911 Tara Blvd
Ste 104
Jonesboro, GA 30236
Phone (770) 477-9535

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

3708 Northside Dr
Macon, GA 31210
Phone (478) 254-5303

2520 Windy Hill Rd SE
Ste 105
Marietta, GA 30067
Phone (770) 952-5300

3231 Highway 34 E
Ste C
Newnan, GA 30265
Phone (770) 251-8940

1755 Highway 34 E
Newnan, GA 30265
Phone (770) 254-6040

1755 Highway 34 E
Ste 1100
Newnan, GA 30265
Phone (770) 252-7510

3150 Highway 34 E
#195
Newnan, GA 30265

3150 Highway 34 E
Ste 195
Newnan, GA 30265

80 Newnan Station Dr
Ste A
Newnan, GA 30265

5555 Ptree Dunwoody Rd NE
Ste 190
Sandy Springs, GA 30342
Phone (404) 256-4457

5909 Peachtree Dunwoody Rd
Ste 600
Sandy Springs, GA 30328
Phone (770) 926-2276

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1710973797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 73709",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302713709",
            "telephone_number": "770-251-2060",
            "fax_number": "678-854-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NEWNAN STATION DRIVE, SUITE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-251-2060",
            "fax_number": "678-854-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JOHN",
        "middle_name": "GOLDEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "036881",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "036881",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000542099D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.