Individual provider Active NPI

John Paul Owensby, D.O.

  • Family Medicine Physician
  • Augusta, GA
National Provider Identifier
1861788903
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4821 Issued in GA
Practice address
1120 15TH St
Augusta, GA 30912-0004
Phone
(706) 721-4588
NPI assigned
Jun 28, 2011
Last updated
Dec 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4821 GA Primary

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-0004

Mailing address

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-4588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 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
I20140801002311 GA Practitioner - Emergency MedicinePractitioner - Family Practice 4587803770 Reassigns benefits to 6 organizations
I20151223000753 TN Practitioner - Family PracticePractitioner - Emergency Medicine 4587803770 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4821GAMDFamily Medicine Physician
2950TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC CurrentSince May 5, 2014 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Jan 24, 2016 Accepting new patients
Peach State Emergency Physicians LLC CurrentSince Aug 1, 2025 Accepting new patients
Chattanooga Emergency Medicine PLLC CurrentSince Aug 10, 2022 Accepting new patients
Chattanooga Emergency Medicine PLLC Current Accepting new patients
Houston County Emergency Group, LLC CurrentSince May 5, 2014 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Jan 24, 2016 Accepting new patients
Lagrange Emergency Physicians, LLC CurrentSince Nov 15, 2015 Accepting new patients
Jenkins County Hospital LLC Past Accepting new patients
Screven County Family Health Center, LLC Family Medicine Past Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1861788903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENSBY",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "4821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.