Individual provider Active NPI

John Edward Vance, M.D.

  • Internal Medicine Physician
  • Leesburg, GA
National Provider Identifier
1841301496
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
053383 Issued in GA
Practice address
235 Walnut Ave S
Leesburg, GA 31763-4367
Phone
(229) 759-6508
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
52063711OtherGABCBS
7154474OtherGAAETNA
P00051313OtherGARR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100721000488 GA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospitalist 3577695998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Emory University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

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

LicenseStateTypeSpecialty
053383GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc. CurrentSince Aug 1, 2003 Accepting new patients
Albany Area Primary Health Care, Inc CurrentSince Aug 1, 2003 Accepting new patients
Phoebe Dorminy Kids Health CurrentSince Jun 1, 2017 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jun 1, 2017 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

  • Direct secure messaging: edward.vance@aaphc.eclinicaldirectplus.com
  • FHIR API: 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.

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": "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

Sources for this page

Verify at the official NPI Registry.