Individual provider Active NPI

John Joseph Schilling, MD

  • Nephrology Physician
  • Albany, GA
National Provider Identifier
1841282142
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
028883 Issued in GA
Practice address
1200 N Jefferson St
Albany, GA 31701-2057
Phone
(229) 888-3970
Fax
(229) 889-9386
NPI assigned
Aug 22, 2005
Last updated
Aug 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 028883 GA Primary

Addresses

Primary practice location

1200 N Jefferson St
Albany, GA 31701-2057

Mailing address

1200 N Jefferson St
Albany, GA 31701-2057
Phone (229) 888-3970

Other identifiers 1

IdentifierTypeStateIssuer
000335244AMedicaidGA

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
I20100826000841 GA Practitioner - NephrologyPractitioner - Internal Medicine 2961428412 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ga. Nephrology Clinic, P.C. Nephrology CurrentSince Jan 1, 1998 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1200 N Jefferson St
Albany, GA 31701
Phone (229) 888-3970

Interoperability endpoints

  • Direct secure messaging: johnschilling@swgan.allscriptsdirect.net

Organizations & group practices 4

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1841282142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N JEFFERSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012057",
            "telephone_number": "229-888-3970",
            "fax_number": "229-889-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N JEFFERSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012057",
            "telephone_number": "229-888-3970",
            "fax_number": "229-889-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLING",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "028883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000335244A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.