Organization Active NPI

John a Wells MD PA

  • Surgery Physician
  • Macon, GA
National Provider Identifier
1912205477
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on May 10, 2011

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000071376BMedicaidGA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.