Individual provider Active NPI

John K Jarboe, MD

  • Otolaryngology Physician
  • Atlanta, GA
National Provider Identifier
1891860441
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
056299 Issued in GA
Practice address
1720 Peachtree Street
Suite 200
Atlanta, GA 30309-1605
Phone
(404) 351-5045
Fax
(404) 897-7078
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 056299 GA Primary

Addresses

Primary practice location

1720 Peachtree Street
Suite 200
Atlanta, GA 30309-1605

Mailing address

1720 Peachtree St NW
Suite 200
Atlanta, GA 30309-2449
Phone (404) 351-5045

Other identifiers 1

IdentifierTypeStateIssuer
P00293051OtherGARAILROAD MEDICARE

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
I20050622000618 GA Practitioner - Otolaryngology 8729023593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Emory University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Ear Nose Andthroat Associates PC 15 clinicians

Practice addresses (Care Compare)

1720 Peachtree St NW
Suite 200
Atlanta, GA 30309-2440
Phone (404) 351-5045

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056299GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Ear Nose & Throat Associates Otolaryngology Current Accepting new patients
Piedmont Ear Nose &Throat Associates PC CurrentSince Aug 1, 2005 Accepting new patients

Locations

1720 Peachtree St NW
Ste 200
Atlanta, GA 30309
Phone (404) 351-5045

Interoperability endpoints

  • Direct secure messaging: john.jarboe.p5@direct.senta.nextgenshare.com

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 and National Provider Directory roles.

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1891860441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092449",
            "telephone_number": "404-351-5045",
            "fax_number": "404-897-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE STREET",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091605",
            "telephone_number": "404-351-5045",
            "fax_number": "404-897-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARBOE",
        "first_name": "JOHN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "056299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00293051",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.