Active NPI
John A Wells, MD
- Surgery Physician
- Macon, GA
National Provider Identifier
1861582827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 010689
- Practice address
- 310 Hospital Dr
Suite 100
Macon, GA 31217-8023 - Phone
- (478) 751-0183
- Fax
- (478) 746-1471
- NPI assigned
- Oct 13, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 010689 | GA | Primary |
Addresses
Primary practice location
310 Hospital Dr
Suite 100
Macon, GA 31217-8023
Mailing address
310 Hospital Dr
Suite 100
Macon, GA 31217-8023
Phone (478) 751-0183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000071376B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010689 | GA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1861582827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 HOSPITAL DR",
"address_2": "SUITE 100",
"city": "MACON",
"state": "GA",
"postal_code": "312178023",
"telephone_number": "478-751-0183",
"fax_number": "478-746-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 HOSPITAL DR",
"address_2": "SUITE 100",
"city": "MACON",
"state": "GA",
"postal_code": "312178023",
"telephone_number": "478-751-0183",
"fax_number": "478-746-1471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JOHN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "010689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000071376B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.