Individual provider Active NPI

John C Ervin, M.D.

  • Ophthalmology Physician
  • Macon, GA
National Provider Identifier
1730153099
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
055003 Issued in GA
Practice address
1429 Oglethorpe St
Macon, GA 31201-1512
Phone
(478) 743-7061
Fax
(478) 743-6296
NPI assigned
Feb 14, 2006
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 055003 GA Primary

Addresses

Primary practice location

1429 Oglethorpe St
Macon, GA 31201-1512

Mailing address

PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308

Other practice location 1

1035 N Houston Rd
Warner Robins, GA 31093-1505
Phone (478) 923-6441

Other identifiers 2

IdentifierTypeStateIssuer
511907393AMedicaidGA
P00145840OtherGARAILROAD MEDICARE

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
I20040614001206 GA Practitioner - Ophthalmology 0345224879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Central Georgia, P.C.Group PAC ID 4789675414, 5 clinicians

Practice addresses (Care Compare)

1429 Oglethorpe St
Macon, GA 31201-1512
Phone (478) 923-6441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery214

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Central Georgia, PC Ophthalmology CurrentSince Aug 16, 2004 Accepting new patients
West Georgia Eye Care Center, PA Ophthalmology CurrentSince May 1, 2025 Accepting new patients

Locations

2616 Warm Springs Rd
Columbus, GA 31904
Phone (706) 323-3491

1429 Oglethorpe St
Macon, GA 31201
Phone (478) 743-1342

1035 N Houston Rd
Warner Robins, GA 31093
Phone (478) 923-6441

Organizations & group practices 2

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1730153099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 OGLETHORPE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011512",
            "telephone_number": "478-743-7061",
            "fax_number": "478-743-6296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 N Houston Rd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310931505",
            "country_code": "US",
            "telephone_number": "478-923-6441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "055003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511907393A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00145840",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.