Individual provider Active NPI

Jonathan Walrath, D.O.

  • Internal Medicine Physician
  • Rome, GA
National Provider Identifier
1851822696
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
85842 Issued in GA
Practice address
501 Redmond Rd NW
Rome, GA 30165-1415
Phone
(706) 291-0291
NPI assigned
Mar 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R4541 KY
Student in an Organized Health Care Education/Training Program 390200000X R4541 KY
Internal Medicine Physician 207R00000X 85842 GA Primary

Addresses

Primary practice location

501 Redmond Rd NW
Rome, GA 30165-1415

Mailing address

80 Willowrun Dr SW
Rome, GA 30165-8734
Phone (859) 445-5530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, GA2 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
I20190529001113 KY Practitioner - Internal Medicine 8527301928 Reassigns benefits to 3 organizations
I20200930002182 GA Practitioner - Internal Medicine 8527301928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Cumberland Regional Hospital LLCGroup PAC ID 7214909456, shared by 6 NPIs, 43 clinicians
Apogee Medical Group Kentucky PSCGroup PAC ID 8820164411, 30 clinicians

Practice addresses (Care Compare)

301 Langdon St
Somerset, KY 42503-2750
Phone (606) 678-9688

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 451-6599

350 Hospital Way
Somerset, KY 42503-1872
Phone (606) 451-2600

353 Bogle St a
Somerset, KY 42503-2889
Phone (606) 451-3820

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.62 of 100Reported as group
Quality
79.69
Improvement activities
40
Cost
72.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Aug 1, 2020 Accepting new patients
Apogee Medical Group Kentucky PSC CurrentSince Jul 1, 2023 Accepting new patients
Lake Cumberland Regional Hospital LLC CurrentSince Dec 1, 2025 Accepting new patients
Lake Cumberland Regional Hospital LLC Family Medicine Current Accepting new patients
Lake Cumberland Regional Hospital, LLC Family Medicine Past Accepting new patients
Lake Cumberland Regional Hospital LLC Past Accepting new patients

Locations

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

353 Bogle St
Ste A
Somerset, KY 42503
Phone (606) 451-3820

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

350 Hospital Way
Ste 100
Somerset, KY 42503
Phone (606) 451-2600

Interoperability endpoints

  • Direct secure messaging: jonathan.walrath.1@21269.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

Organizations & group practices 7

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 2

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1851822696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WILLOWRUN DR SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301658734",
            "telephone_number": "859-445-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651415",
            "telephone_number": "706-291-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALRATH",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "R4541",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "R4541",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "85842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.