Active NPI
James J Logan, MD
- Pediatric Pulmonology Physician
- Macon, GA
National Provider Identifier
1881630655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 040465
- Practice address
- 1062 Forsyth St
Suite 2C
Macon, GA 31201-8637 - Phone
- (478) 755-0036
- Fax
- (478) 755-1254
- NPI assigned
- Jun 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 040465 | GA | Primary |
Addresses
Primary practice location
1062 Forsyth St
Suite 2C
Macon, GA 31201-8637
Mailing address
1062 Forsyth St
Suite 2-C
Macon, GA 31201-8637
Phone (478) 755-0036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georgia Emergency Group, LLC | Current | Accepting new patients | |
| Cornerstone Medical Assoc., LLC | Past | Accepting new patients | |
| Central Georiga Fertility Institute | Past | Accepting new patients | |
| Personal Recovery Network LLC | Past | Accepting new patients | |
| Pediatric Pulmonology of Central Ga | Pediatric Pulmonology | Past | Accepting new patients |
| Health Services of Central Georgia, Inc | Past | Accepting new patients |
Locations
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/d56d19c5-1f59-4682-8c35-bc6d80287bb8/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Macon, GA
- NPI 1598126641
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Pediatrics Physician
- Perry, GA
- NPI 1275575888
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
-
- Pediatric Pulmonology Physician
- Macon, GA
- NPI 1629356670
-
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355961600000",
"number": "1881630655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1062 FORSYTH ST",
"address_2": "SUITE 2-C",
"city": "MACON",
"state": "GA",
"postal_code": "312018637",
"telephone_number": "478-755-0036",
"fax_number": "478-755-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1062 FORSYTH ST",
"address_2": "SUITE 2C",
"city": "MACON",
"state": "GA",
"postal_code": "312018637",
"telephone_number": "478-755-0036",
"fax_number": "478-755-1254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "JAMES",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2012-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "GA",
"license": "040465",
"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 Dec 20, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.