Individual provider Active NPI

Jonathan Russell Brock, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Macon, GA
National Provider Identifier
1871927269
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
102044 Issued in GA
Practice address
1062 Forsyth St Ste 1B
Macon, GA 31201-8638
Phone
(478) 741-1208
NPI assigned
Aug 21, 2013
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 2022-00009 NC
Clinical Cardiac Electrophysiology Physician 207RC0001X 102044 GA Primary

Addresses

Primary practice location

1062 Forsyth St Ste 1B
Macon, GA 31201-8638

Mailing address

1062 Forsyth St Ste 1B
Macon, GA 31201-8638
Phone (478) 741-1208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, 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
I20220714003134 NC Practitioner - Internal Medicine 8022381631 Reassigns benefits to 2 organizations
I20250616001627 GA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 8022381631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Mercer University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Georgia Heart Center, PCGroup PAC ID 0446248736, 27 clinicians
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1062 Forsyth St
Suite 1B
Macon, GA 31201-8638
Phone (478) 741-1208

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences Multi-Specialty CurrentSince Jun 30, 2022 Accepting new patients
Carolinas Physicians Network Inc Multi-Specialty CurrentSince Oct 20, 2022 Accepting new patients
Health Services of Central Georgia, Inc Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Carolinas Physicians Network Inc Multi-Specialty CurrentSince Oct 20, 2022 Accepting new patients
Carolinas Physicians Network Inc Multi-Specialty Current Accepting new patients
Central Georgia Heart Center, PC CurrentSince Jul 1, 2025 Accepting new patients
Central Georgia Heart Center, PC Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

910 N 5th St
Ste C
Cordele, GA 31015
Phone (229) 805-9770

1000 Hillcrest Pkwy
Dublin, GA 31021
Phone (478) 241-0241

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

134 Martin Luther King Jr Dr
Ste 2B
Forsyth, GA 31029

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

222 Perry Hwy
Bldg B
Hawkinsville, GA 31036
Phone (478) 783-3025

1062 Forsyth St
Ste 1B
Macon, GA 31201
Phone (912) 743-7068

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

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

750 N Cobb St
Ste 130
Milledgeville, GA 31061
Phone (478) 452-1024

750 N Cobb St
Ste 150
Milledgeville, GA 31061
Phone (478) 284-0670

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

502 Sumter St
Montezuma, GA 31063
Phone (478) 472-3100

898 College St
Monticello, GA 31064
Phone (706) 468-0988

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

211 E Thompson St
Thomaston, GA 30286
Phone (404) 647-8909

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

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

304 Margie Dr
Warner Robins, GA 31088
Phone (478) 333-2965

250 Hospital Dr
Lexington, NC 27292
Phone (336) 238-4150

134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100

111 W Grover St
Shelby, NC 28150
Phone (704) 482-1006

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEADD
  • Direct secure messaging: jbrock1069308@carolinashealthcaresystem.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1871927269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 1B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018638",
            "telephone_number": "478-741-1208",
            "fax_number": "478-741-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 1B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018638",
            "telephone_number": "478-741-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "JONATHAN",
        "middle_name": "RUSSELL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2022-00009",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "GA",
            "license": "102044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.