Individual provider Active NPI

Johnathan Trent Pierson, MD

  • Psychiatry Physician
  • Savannah, GA
National Provider Identifier
1821526229
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0109066A Issued in IN
Practice address
601 E 66TH St
Savannah, GA 31405-4519
Phone
(912) 662-0088
Fax
(912) 527-6072
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0109066A IN Primary

Addresses

Primary practice location

601 E 66TH St
Savannah, GA 31405-4519

Mailing address

601 E 66TH St
Savannah, GA 31405-4519
Phone (912) 662-0088

Other practice location 1

445 N Cross Pointe Blvd
Evansville, IN 47715-4010
Phone (812) 471-4611

Other practice location 2

7200 E Indiana St
Evansville, IN 47715-2753
Phone (812) 476-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230501000707 GA Practitioner - Psychiatry 5294077426 Reassigns benefits to 1 organization
I20230810000433 IN Practitioner - Psychiatry 5294077426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

7200 E Indiana St
Evansville, IN 47715-2753
Phone (812) 476-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0109066AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital Inc Psychiatry CurrentSince Jul 31, 2023 Accepting new patients
Deaconess Hospital, Inc Psychiatry CurrentSince Jul 31, 2023 Accepting new patients
Gateway Community Service Board CurrentSince Mar 1, 2023 Accepting new patients
Gateway Behavioral Health Services CurrentSince Mar 1, 2023 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Deaconess Hospital, Inc. Past Accepting new patients

Locations

600 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 449-7111

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

124 SW Broad St
Jesup, GA 31545
Phone (912) 280-7023

800 E 70th St
Savannah, GA 31405
Phone (912) 692-0606

601 E 66th St
Savannah, GA 31405
Phone (912) 503-9539

7200 E Indiana St
Evansville, IN 47715
Phone (812) 476-7200

445 N Cross Pointe Blvd
Evansville, IN 47715
Phone (812) 402-2003

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

Interoperability endpoints

  • Direct secure messaging: jpierson238064@direct.deaconess.com

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.

Hospital & facility affiliations 3

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711756800000",
    "number": "1821526229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054519",
            "telephone_number": "912-662-0088",
            "fax_number": "912-527-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054519",
            "telephone_number": "912-662-0088",
            "fax_number": "912-527-6072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 N Cross Pointe Blvd",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477154010",
            "country_code": "US",
            "telephone_number": "812-471-4611",
            "fax_number": "812-471-4514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 E Indiana St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477152753",
            "country_code": "US",
            "telephone_number": "812-476-7200",
            "fax_number": "812-471-4514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "JOHNATHAN",
        "middle_name": "TRENT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "0109066A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.