Active NPI
John a Wells MD PA
- Surgery Physician
- Macon, GA
National Provider Identifier
1912205477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- JOHN A WELLS MD PA
- Practice address
- 440 Charter Blvd
Suite 3302
Macon, GA 31210-4857 - Phone
- (478) 405-7977
- NPI assigned
- Mar 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John A Wells, MD
- Title
- Sole Owner
- Phone
- (478) 405-7977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
440 Charter Blvd
Suite 3302
Macon, GA 31210-4857
Mailing address
440 Charter Blvd
Suite 3302
Macon, GA 31210-4857
Phone (478) 405-7977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000071376B | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304985600000",
"number": "1912205477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 CHARTER BLVD",
"address_2": "SUITE 3302",
"city": "MACON",
"state": "GA",
"postal_code": "312104857",
"telephone_number": "478-405-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 CHARTER BLVD",
"address_2": "SUITE 3302",
"city": "MACON",
"state": "GA",
"postal_code": "312104857",
"telephone_number": "478-405-7977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN A WELLS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-08",
"last_updated": "2011-05-10",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "478-405-7977",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000071376B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.