Individual provider Active NPI

John-Paul A Cardoso, MD

  • Anesthesiology Physician
  • Macon, GA
National Provider Identifier
1861710758
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
284306 Issued in NY
Practice address
888 Pine St
Macon, GA 31201-2109
Phone
(478) 633-1000
NPI assigned
May 17, 2010
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 00000000000 GA
Anesthesiology Physician 207L00000X 94037 GA
Anesthesiology Physician 207L00000X 284306 NY Primary

Addresses

Primary practice location

888 Pine St
Macon, GA 31201-2109

Mailing address

PO Box 945375
Atlanta, GA 30394-5375
Phone (516) 945-3000

Other practice location 1

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 331-1000

Other practice location 2

1014 Forsyth St
Macon, GA 31201-2051
Phone (478) 633-5800

Other practice location 3

1001 Main St. Suite K3502
Buffalo, NY 14203
Phone (585) 275-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160808001984 NY Practitioner - Anesthesiology 5092009480 Reassigns benefits to 3 organizations
I20221221001301 GA Practitioner - Anesthesiology 5092009480 Reassigns benefits to 2 organizations
I20250415001836 IL Practitioner - Anesthesiology 5092009480 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94037GAMDAnesthesiology Physician
284306NYMDAnesthesiology Physician
00000000000GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of New York, P.C. Anesthesiology CurrentSince Aug 11, 2023 Accepting new patients
Carle Health Medical Group Anesthesiology CurrentSince Mar 12, 2025 Accepting new patients
Rome Memorial Hospital, Inc. CurrentSince Jan 2, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2023 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Nov 1, 2018 Accepting new patients
American Anesthesiology Associates of Georgia, LLC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Rome Memorial Hospital, Inc Anesthesiology CurrentSince Jan 2, 2025 Accepting new patients

Locations

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

888 Pine St
Macon, GA 31201
Phone (478) 751-0527

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1001 Main St
Ste K3502
Buffalo, NY 14203
Phone (716) 323-6576

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

Interoperability endpoints

  • Direct secure messaging: jcardosomd435931@carlehiedirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1861710758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 945375",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303945375",
            "telephone_number": "516-945-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 PINE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012109",
            "telephone_number": "478-633-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-331-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1014 Forsyth St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012051",
            "country_code": "US",
            "telephone_number": "478-633-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Main St. Suite K3502",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14203",
            "country_code": "US",
            "telephone_number": "585-275-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDOSO",
        "first_name": "JOHN-PAUL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "00000000000",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "94037",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "284306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.