Active NPI
Jonathan C. Newton, MD
- Interventional Pain Medicine Physician
- Marietta, GA
National Provider Identifier
1861533291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 061303
- Practice address
- 1121 Johnson Ferry Rd
400
Marietta, GA 30068-5425 - Phone
- (770) 771-6300
- Fax
- (770) 771-6301
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 061303 | GA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 061303 | GA | |
| Interventional Pain Medicine Physician | 208VP0014X | 061303 | GA | Primary |
Addresses
Primary practice location
1121 Johnson Ferry Rd
400
Marietta, GA 30068-5425
Mailing address
1121 Johnson Ferry Rd
400
Marietta, GA 30068-5425
Phone (770) 771-6300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 357062779B | Medicaid | GA | |
| 357062779D | Medicaid | GA | |
| 357062779A | Medicaid | GA | |
| 357062779C | Medicaid | GA | |
| 357062779E | Medicaid | GA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081029000914 | GA | Practitioner - Anesthesiology | 8820157225 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061303 | GA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Anesthesiology Consultants, LLC | Anesthesiology | Past | Accepting new patients |
| Roquin Pain Center | Past | Accepting new patients | |
| Peachtree Orthopaedic Surgery Center-North, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://fhir4.healow.com/fhir/r4/DBFCDA/Endpoint/DBFCDA
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Marietta, GA
- NPI 1801224167
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1083600308
-
- Ambulatory Surgical Clinic/Center
- Cumming, GA
- NPI 1093389421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1861533291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 JOHNSON FERRY RD",
"address_2": "400",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300685425",
"telephone_number": "770-771-6300",
"fax_number": "770-771-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 JOHNSON FERRY RD",
"address_2": "400",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300685425",
"telephone_number": "770-771-6300",
"fax_number": "770-771-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "JONATHAN",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "061303",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "GA",
"license": "061303",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "061303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "357062779B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "357062779D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "357062779A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "357062779C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "357062779E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.