Individual provider Active NPI

Joseph M Hathaway Jr., MD

  • Gastroenterology Physician
  • Statesboro, GA
National Provider Identifier
1760461925
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
049797 Issued in GA
Practice address
1497 Fair Rd Ste 104
Statesboro, GA 30458-0822
Phone
(912) 486-1600
Fax
(912) 871-3342
NPI assigned
Jan 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 049797 GA Primary

Addresses

Primary practice location

1497 Fair Rd Ste 104
Statesboro, GA 30458-0822

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211

Other practice location 1

114 Hill Pond Ln
Statesboro, GA 30458-0872
Phone (912) 681-6944

Other identifiers 1

IdentifierTypeStateIssuer
000900501GMedicaidGA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address joseph.hathaway.jr.1@8824.direct.athenahealth.com Health Information Exchange (HIE)
Direct Messaging Address joseph.hathaway.jr.1@8824.direct.athenahealth.com

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
I20100913000406 GA Practitioner - Gastroenterology 5799738860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Medical University of South Carolina College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Georgia Hma Physician Management LLCGroup PAC ID 7214068592, 42 clinicians

Practice addresses (Care Compare)

1497 Fair Rd
Statesboro, GA 30458-0823

1497 Fair Rd
Suite 104
Statesboro, GA 30458-0822
Phone (912) 486-1558

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1482

Hospital & facility affiliations

  • East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075
  • Optim Medical Center - Screven Hospital, Sylvania, GA, CCN 111312
  • Evans Memorial Hospital Hospital, Claxton, GA, CCN 110142
  • Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy204
Upper gastrointestinal (GI) endoscopy for acid reflux238

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Hma Physician Management, LLC Gastroenterology CurrentSince Feb 1, 2019 Accepting new patients
Cypress Medical, LLC PastSince Oct 22, 2023 Accepting new patients

Locations

114 Hill Pond Ln
Statesboro, GA 30458
Phone (912) 681-6944

1497 Fair Rd
Ste 103
Statesboro, GA 30458
Phone (912) 486-1163

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

Interoperability endpoints

  • Direct secure messaging: joseph.hathaway.jr.1@8824.direct.athenahealth.com
  • Direct secure messaging: josephhathaway@gi.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1137283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1760461925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 FAIR RD STE 104",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580822",
            "telephone_number": "912-486-1600",
            "fax_number": "912-871-3342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Hill Pond Ln",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580872",
            "country_code": "US",
            "telephone_number": "912-681-6944",
            "fax_number": "912-681-8744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-15",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "049797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000900501G",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.hathaway.jr.1@8824.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "114 Hill Pond Ln",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304580872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.hathaway.jr.1@8824.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "114 Hill Pond Ln",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304580872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.