Active NPI
Jonathan Russell Brock, M.D.
- Clinical Cardiac Electrophysiology Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 102044
- Practice address
- 1062 Forsyth St Ste 1B
Macon, GA 31201-8638 - Phone
- (478) 741-1208
- NPI assigned
- Aug 21, 2013
- Last updated
- Aug 19, 2025
- 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 |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Mercer University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Enhabit Home Health
- Atrium Health Navicent the Medical Center
- Coliseum Medical Centers, LLC, Dba
- Emory Houston Hospital Warner Robins
- Fairview Park Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Multi-Specialty | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Multi-Specialty | Current | Accepting new patients |
| Health Services of Central Georgia, Inc | Multi-Specialty | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Multi-Specialty | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Multi-Specialty | Current | Accepting new patients |
| Central Georgia Heart Center, PC | Current | Accepting new patients | |
| Central Georgia Heart Center, PC | Multi-Specialty | Current | 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
- https://fhir4.healow.com/fhir/r4/GGEADD
- 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.
-
dba Central Georgia Heart Center
- Cardiovascular Disease Physician
- Macon, GA
- NPI 1780779363
Multi-Specialty
-
dba Atrium Health Navicent Medical Group
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Phlebology Physician
- Macon, GA
- NPI 1710382320
-
dba The Sanger Clinic
- Internal Medicine Physician
- Shelby, NC
- NPI 1023440898
Multi-Specialty
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
Multi-Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health
- Home Health Agency
- Macon, GA
- NPI 1972762599
-
dba Piedmont Macon Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
dba Fairview Park Hospital
- General Acute Care Hospital
- Dublin, GA
- NPI 1285688234
-
dba Emory Hospital Warner Robins
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.