Individual provider Active NPI

Jonathan Schuh, MD

  • Pediatrics Physician
  • Watkinsville, GA
National Provider Identifier
1811988934
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
047363 Issued in GA
Practice address
1305 Jennings Mill Rd Ste 230
Watkinsville, GA 30677-7241
Phone
(706) 552-1700
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 047363 GA Primary

Addresses

Primary practice location

1305 Jennings Mill Rd Ste 230
Watkinsville, GA 30677-7241

Mailing address

121 Marble Mill Rd
Ste 101
Marietta, GA 30060-7913
Phone (770) 422-8315

Other practice location 1

1371 Church Street Ext NE
Marietta, GA 30060-7913
Phone (770) 422-8315

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
I20080429000250 GA Practitioner - Pediatric Medicine 4082792239 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Primary Care LLC CurrentSince Feb 14, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 31, 2017 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC Pediatrics CurrentSince May 31, 2017 Accepting new patients
Wellstar Kennestone Pediatric Associates, LLC Pediatrics Past Accepting new patients
Wellstar Health System, Inc. Pediatrics Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

121 Marble Mill Rd NW
Ste 101
Marietta, GA 30060
Phone (770) 422-8315

1305 Jennings Mill Rd
Ste 230
Watkinsville, GA 30677
Phone (706) 552-1700

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1811988934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MARBLE MILL RD",
            "address_2": "STE 101",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607913",
            "telephone_number": "770-422-8315",
            "fax_number": "770-590-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 JENNINGS MILL RD STE 230",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777241",
            "telephone_number": "706-552-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1371 Church Street Ext NE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300607913",
            "country_code": "US",
            "telephone_number": "770-422-8315",
            "fax_number": "770-590-9170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUH",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "047363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.