Individual provider Active NPI

James Bernard Short Jr., MD

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1891743407
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
023877 Issued in GA
Practice address
1800 Howell Mill Road
Suite 130
Atlanta, GA 30318
Phone
(404) 355-8775
Fax
(404) 355-8772
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 023877 GA Primary

Addresses

Primary practice location

1800 Howell Mill Road
Suite 130
Atlanta, GA 30318

Mailing address

1800 Howell Mill Road
Suite 130
Atlanta, GA 30318
Phone (404) 355-8775

Other practice location 1

1984 Greentree Rd
Pittsburgh, PA 15220-1813
Phone (412) 343-3627

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
I20100712000393 GA Practitioner - Family Practice 4486786365 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Immediate Care, IncGroup PAC ID 9133105976, 22 clinicians

Practice addresses (Care Compare)

101 Quartz Dr
Suite 101
Villa Rica, GA 30180-3252
Phone (770) 949-7500

Merit-based Incentive Payment System (MIPS)

Final score
50.89 of 100Reported as group
Quality
13.1
Promoting interoperability
100
Improvement activities
0
Cost
73.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023877GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Immediate Care, Inc CurrentSince Dec 9, 2024 Accepting new patients
Afc Physicians of Georgia, PC CurrentSince May 1, 2024 Accepting new patients
Gwinnett Emergency Specialists, LLC CurrentSince Sep 15, 2011 Accepting new patients
Afc Physicians of Georgia, PC CurrentSince May 1, 2024 Accepting new patients

Locations

1480 S Highway 27
Carrollton, GA 30117
Phone (770) 812-9445

5001 Peachtree Blvd
Ste 115
Chamblee, GA 30341
Phone (770) 458-8929

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

101 Quartz Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 836-9445

Interoperability endpoints

  • Direct secure messaging: james.short.1@27404.direct.athenahealth.com

Organizations & group practices 4

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1891743407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL ROAD",
            "address_2": "SUITE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30318",
            "telephone_number": "404-355-8775",
            "fax_number": "404-355-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL ROAD",
            "address_2": "SUITE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30318",
            "telephone_number": "404-355-8775",
            "fax_number": "404-355-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1984 Greentree Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152201813",
            "country_code": "US",
            "telephone_number": "412-343-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "JAMES",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "023877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.