John Gargus, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

39105 Issued in GA

Practice address

311 Philip Blvd
Lawrenceville, GA 30045-8733

Phone

(770) 995-3000

Fax

(770) 995-1427

NPI assigned

Dec 5, 2005

Last updated

Feb 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiotherapy Clinics of Georgia,LLC

  • Specialist
  • Decatur, GA
  • NPI 1851449540
  Medicare reassignment NPD
• Aoa Gwinnett Operating Company

  • Specialist
  • Lawrenceville, GA
  • NPI 1790739357
  NPD (past)
• Frank a Critz,MD

  • Specialist
  • Decatur, GA
  • NPI 1235184177
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1851375505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686470",
            "telephone_number": "770-682-2080",
            "fax_number": "678-579-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PHILIP BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458733",
            "telephone_number": "770-995-3000",
            "fax_number": "770-995-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGUS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "039105",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "39105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000628075J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000628075U",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000628075H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000628075N",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audra Gardenhi
• Marcell Darrell Gardner Spates, LPC
• Chevelle Gardner
• Jess A Gardner, DMD, MD
• Markita Regina Gardner, M.S., CCC-SLP
• Lauren Ashley Garmon, C.P.N.P.
• Janayvia Garner
• Patrick Zackery Garner II
• Belinda Mavis Garrett-Ibe, MASSAGE THERAPIST
• Ellenjoy R Garrett

• Radiation Oncology Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Radiation Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.