Individual provider Active NPI

John Bridges

  • Family Nurse Practitioner
  • Cordele, GA
National Provider Identifier
1891301701
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN220201 Issued in GA
Practice address
201 E 16TH Ave
Cordele, GA 31015-1623
Phone
(229) 273-8501
Fax
(229) 212-8115
NPI assigned
Sep 17, 2020
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN220201 GA Primary

Addresses

Primary practice location

201 E 16TH Ave
Cordele, GA 31015-1623

Mailing address

201 E 16TH Ave
Cordele, GA 31015-1623
Phone (229) 273-8501

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230125002354 GA Practitioner - Nurse Practitioner 2163893306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Stevens Health Services PCGroup PAC ID 8123211349, 7 clinicians

Practice addresses (Care Compare)

201 E 16TH Ave
Cordele, GA 31015-1623
Phone (229) 273-8501

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN220201GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Health Services PC CurrentSince Oct 18, 2023 Accepting new patients
Georgia Cardiology Center, LLC PastSince Apr 30, 2023 Accepting new patients

Locations

201 E 16th Ave
Cordele, GA 31015
Phone (229) 273-8501

Organizations & group practices 2

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 1

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1891301701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151623",
            "telephone_number": "229-273-8501",
            "fax_number": "229-212-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151623",
            "telephone_number": "229-273-8501",
            "fax_number": "229-212-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN220201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

Verify at the official NPI Registry.