Individual provider Active NPI

James J Logan, MD

  • Pediatric Pulmonology Physician
  • Macon, GA
National Provider Identifier
1881630655
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
040465 Issued in GA
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

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160830002490 GA Practitioner - Emergency Medicine 1153416920 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Emergency Group, LLC CurrentSince Jul 1, 2016 Accepting new patients
Cornerstone Medical Assoc., LLC Past Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
Personal Recovery Network LLC PastSince Aug 13, 2019 Accepting new patients
Pediatric Pulmonology of Central Ga Pediatric Pulmonology Past Accepting new patients
Health Services of Central Georgia, Inc PastSince Jun 1, 2004 Accepting new patients

Locations

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

Interoperability endpoints

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

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

Verify at the official NPI Registry.