Active NPI
John Edward Vance, M.D.
- Internal Medicine Physician
- Leesburg, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 053383
- Practice address
- 235 Walnut Ave S
Leesburg, GA 31763-4367 - Phone
- (229) 759-6508
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 053383 | GA | Primary |
Addresses
Primary practice location
235 Walnut Ave S
Leesburg, GA 31763-4367
Mailing address
204 N Westover Blvd
Albany, GA 31707-2983
Phone (229) 888-6559
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52063711 | Other | GA | BCBS |
| 7154474 | Other | GA | AETNA |
| P00051313 | Other | GA | RR MCARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Emory University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
118 Robert B Lee Dr
Leesburg, GA 31763-2600
Phone (229) 759-6508
1305 E 2ND Ave
Albany, GA 31705-1315
Phone (229) 405-6189
1700 Cordell Ave
Albany, GA 31705-1497
Phone (229) 431-1201
1712 A E Broad Ave
Albany, GA 31705-2611
Phone (229) 639-3100
1712 E Broad Ave
Suite C
Albany, GA 31705-2611
Phone (229) 639-3103
2001 Leonard Ave
Albany, GA 31705-2341
Phone (229) 435-9934
2202 E Oglethorpe Blvd
Albany, GA 31705-2940
Phone (229) 431-1423
2600 Radium Springs Rd
Albany, GA 31705-4618
Phone (229) 394-4719
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5133
512 Liberty Expy SE
Albany, GA 31705-5958
Phone (229) 501-2055
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053383 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Area Primary Health Care, Inc. | Current | Accepting new patients | |
| Albany Area Primary Health Care, Inc | Current | Accepting new patients | |
| Phoebe Dorminy Kids Health | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Albany Area Primary Health Care, Inc. | Past | Accepting new patients |
Locations
1300 Newton Rd
Albany, GA 31701
Phone (229) 431-1320
1305 E 2nd Ave
Albany, GA 31705
Phone (229) 405-6189
1425 W Oakridge Dr
Albany, GA 31707
Phone (229) 405-6233
1700 Cordell Ave
Albany, GA 31705
Phone (229) 405-6235
1712 E Broad Ave
#A
Albany, GA 31705
Phone (229) 639-3100
1712 E Broad Ave
#C
Albany, GA 31705
Phone (229) 639-3103
2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000
2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559
2202 E Oglethorpe Blvd
Albany, GA 31705
Phone (229) 431-1423
2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559
401 S Madison St
Albany, GA 31701
Phone (229) 405-6959
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
4529 Gillionville Rd
Albany, GA 31721
Phone (229) 405-6188
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
123 Learning Ln
Americus, GA 31719
Phone (229) 493-9670
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
455 Greenwave Blvd
Dawson, GA 39842
Phone (229) 405-6238
505 Forrester Dr SE
Dawson, GA 39842
Phone (229) 405-6249
118 Robert B Lee Dr
Leesburg, GA 31763
Phone (229) 759-6508
235 Walnut Ave S
Leesburg, GA 31763
Phone (229) 759-6508
327 Sunset Ave SW
#3
Newton, GA 39870
Phone (229) 734-5250
11949 US Highway 41
Pinehurst, GA 31070
Phone (229) 405-6249
1212 E Union St
Vienna, GA 31092
Phone (229) 268-8865
Interoperability endpoints
- edward.vance@aaphc.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/ICEHBA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
dba East Albany Medical Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1780608992
-
dba Radium Springs Middle School-Based Health Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1013709625
-
dba Alice Coachman Elementary School-Based Health Center
- Federally Qualified Health Center (FQHC)
- Albany, GA
- NPI 1003287731
-
- Clinic/Center
- Fitzgerald, GA
- NPI 1144501867
-
dba Lee Health Center
- Federally Qualified Health Center (FQHC)
- Leesburg, GA
- NPI 1568497030
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health of Macon
- Home Health Agency
- Macon, GA
- NPI 1356399018
-
dba CenterWell Home Health
- Home Health Agency
- Albany, GA
- NPI 1780666321
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841301496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 N WESTOVER BLVD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072983",
"telephone_number": "229-888-6559",
"fax_number": "229-436-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 WALNUT AVE S",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317634367",
"telephone_number": "229-759-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "JOHN",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "053383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52063711",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7154474",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE",
"identifier": "P00051313",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, GA
- Martha Thompson
- Cynthia Elaine Tiamfook, RN
- Eddie Jean Truelove, MSN, APRN, BC
- U Save It Pharmacy Inc (U Save It Pharmacy #4 LTC)
- U Save It Pharmacy Inc (U Save It Pharmacy #4)
- Jose Daniel Vargas, DMD
- Angela Gordon Vick, M.ED, CCC-SLP
- Vital Link Care & Corporation
- Zandra Basley Walker, LPC
- Kindra Warren
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.