Individual provider Active NPI

James Oliviere Jr., MD

  • Family Medicine Physician
  • Riverdale, GA
National Provider Identifier
1891977146
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
060017 Issued in GA
Practice address
1324 Highway 138 SW
Riverdale, GA 30296-1404
Phone
(770) 907-4949
NPI assigned
Nov 28, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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 060017 GA Primary

Addresses

Primary practice location

1324 Highway 138 SW
Riverdale, GA 30296-1404

Mailing address

1324 Highway 138 SW
Riverdale, GA 30296-1404
Phone (770) 907-4949

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
I20080423000248 GA Practitioner - Family Practice 9537247143 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caedel Medical GroupGroup PAC ID 0648258988, 4 clinicians
Houston Hospitals IncGroup PAC ID 4284797580, 27 clinicians

Practice addresses (Care Compare)

1324 Hwy 138
Riverdale, GA 30296-1404
Phone (770) 907-4949

3400 Riverside Dr
Macon, GA 31210-2513
Phone (478) 474-5600

3780 Eisenhower Pkwy
Macon, GA 31206-0800
Phone (487) 633-5500

520 Ga Hwy 247 S
Suite 501
Bonaire, GA 31005-3886
Phone (478) 352-7110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
060017GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Center of Central Georgia Inc CurrentSince Feb 1, 2016 Accepting new patients
Health Services of Central Georgia, Inc Family Medicine CurrentSince Feb 1, 2016 Accepting new patients
Caedel Medical Group CurrentSince Nov 1, 2007 Accepting new patients
The Medical Center of Central Georgia Inc. Current Accepting new patients
Houston Hospitals Inc CurrentSince Jul 8, 2024 Accepting new patients
Houston Hospitals Inc CurrentSince Jul 8, 2024 Accepting new patients
Henry County Radiology Associates Past Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

559 Flat Shoals Ave SE
Atlanta, GA 30316
Phone (770) 907-4949

520 GA Highway 247 S
Ste 501
Bonaire, GA 31005
Phone (478) 352-7110

1118 GA Highway 96
Kathleen, GA 31047
Phone (478) 922-4281

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

770 Pine St
Ste 140
Macon, GA 31201
Phone (478) 633-1821

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

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1324 Highway 138 SW
Riverdale, GA 30296
Phone (770) 907-4949

1324 Highway 138 SW
Ste A
Riverdale, GA 30296
Phone (770) 441-7759

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

1601 Watson Blvd
Ste 140B
Warner Robins, GA 31093
Phone (478) 922-4281

233 N Houston Rd
Ste 140A
Warner Robins, GA 31093
Phone (478) 923-2843

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIHDBA
  • Direct secure messaging: joliviere433762@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 8

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 4

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1891977146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 HIGHWAY 138 SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961404",
            "telephone_number": "770-907-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 HIGHWAY 138 SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961404",
            "telephone_number": "770-907-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIERE",
        "first_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "060017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.