Individual provider Active NPI

John Hurteau, MD

  • Plastic Surgery Physician
  • Athens, GA
National Provider Identifier
1821130311
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
17206 Issued in GA
Practice address
2325 Prince Ave
Athens, GA 30606-6003
Phone
(706) 546-0280
Fax
(706) 548-0258
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 17206 GA Primary

Addresses

Primary practice location

2325 Prince Ave
Athens, GA 30606-6003

Mailing address

2325 Prince Ave
Athens, GA 30606-6003
Phone (706) 546-0280

Other identifiers 1

IdentifierTypeStateIssuer
00214596AMedicaidGA

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
I20110324000739 GA Practitioner - Plastic and Reconstructive Surgery 2567645708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S Medical Group, Inc.Group PAC ID 7113098393, 118 clinicians

Practice addresses (Care Compare)

1000 Hawthorne Ave
Suite N
Athens, GA 30606-2168

1500 Oglethorpe Ave
Suite 2100
Athens, GA 30606-2188
Phone (706) 425-5437

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17206GAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Medical Group, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Morgan County Georgia Hospital Authority Current Accepting new patients
Hurteau Plastic Surgery, P.C. Plastic Surgery CurrentSince Sep 14, 2017 Accepting new patients
St. Mary'S Medical Group, Inc. CurrentSince Nov 1, 2025 Accepting new patients
St Mary'S Medical Group, Inc Past Accepting new patients

Locations

740 Prince Ave
Ste 2
Athens, GA 30606
Phone (706) 548-5488

1000 Hawthorne Ave
Ste N
Athens, GA 30606
Phone (706) 202-0072

1500 Oglethorpe Ave
Ste 2100
Athens, GA 30606
Phone (706) 425-5437

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

Interoperability endpoints

  • Direct secure messaging: johnhurteau@mmc.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4

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.

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1821130311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066003",
            "telephone_number": "706-546-0280",
            "fax_number": "706-548-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066003",
            "telephone_number": "706-546-0280",
            "fax_number": "706-548-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTEAU",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "17206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00214596A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.