Johnny C Pitts, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8716 Issued in GA

Practice address

35 Hospital Rd
Blairsville, GA 30512-3139

Phone

(706) 745-2111

NPI assigned

Mar 9, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southland Bainbridge Hospitalist Group, LLCGroup PAC ID 7214248335, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union General Hospital Hospital, Blairsville, GA, CCN 110051

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southland Bainbridge Hospitalist Group, LLC

  • Hospitalist Physician
  • Bainbridge, GA
  • NPI 1356735336
  Medicare reassignment Care Compare group
• Southland Optim Jenkins Emergency Medical Services, LLC

  • Emergency Medicine Physician
  • Millen, GA
  • NPI 1265826242

  Multi-Specialty

  Medicare reassignment NPD
• Southland Union Emergency Medical Services, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Blairsville, GA
  • NPI 1164954715
  Medicare reassignment
• Southland Optim Jenkins Emergency Medical Services, LLC

  • Emergency Medicine Physician
  • Hinesville, GA
  • NPI 1477913580
  NPD
• Southland Evans Emergency Medical Services LLC

  • Emergency Medicine Physician
  • Claxton, GA
  • NPI 1730697418

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Union County Hospital Authority

  • General Acute Care Hospital
  • Blairsville, GA
  • NPI 1487684122
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1902309545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 HIGH RANGE DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305121498",
            "telephone_number": "678-598-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123139",
            "telephone_number": "706-745-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "JOHNNY",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.