Individual provider Active NPI

John T Madonna Jr., MD

  • Cardiovascular Disease Physician
  • Alma, GA
National Provider Identifier
1912933870
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
031981 Issued in GA
Practice address
207 S Wayne St
Alma, GA 31510-2919
Phone
(912) 632-3827
Fax
(912) 632-7308
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 031981 GA Primary
Cardiovascular Disease Physician 207RC0000X ME97383 FL

Addresses

Primary practice location

207 S Wayne St
Alma, GA 31510-2919

Mailing address

207 S Wayne St
Alma, GA 31510-2919
Phone (912) 632-3827

Other practice location 1

1406 Habersham Dr
Waycross, GA 31501-5306
Phone (912) 632-3827

Other identifiers 1

IdentifierTypeStateIssuer
000720992SMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050513000546 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981507175 Reassigns benefits to 2 organizations
I20070423000581 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981507175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Emory University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Physicians Group, LLCGroup PAC ID 8224208251, 9 clinicians

Practice addresses (Care Compare)

207 S Wayne St
Alma, GA 31510-2919
Phone (912) 632-8288

Hospital & facility affiliations

  • Bacon County Hospital Hospital, Alma, GA, CCN 111327
  • Memorial Satilla Health Hospital, Waycross, GA, CCN 110003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Interpreters Inc CurrentSince Oct 18, 2014 Accepting new patients
South Georgia Physicians Group, LLC Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Sep 1, 2017 Accepting new patients
St Vincents Ambulatory Care Inc Cardiovascular Disease CurrentSince Sep 1, 2017 Accepting new patients
Gainesville Heart and Vascular Group PC Past Accepting new patients
Baptist Specialty Physicians Inc Past Accepting new patients
Southern Heart Group Cardiovascular Disease Past Accepting new patients
Bacon County Health Services, Inc. Past Accepting new patients

Locations

4205 Belfort Rd
Ste 4020
Jacksonville, FL 32216
Phone (904) 450-6020

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

204 E 15th St
Alma, GA 31510
Phone (912) 632-2952

207 S Wayne St
Alma, GA 31510
Phone (912) 285-1140

205 S Wayne St
Alma, GA 31510
Phone (912) 383-9789

333 W Carter Ave
Blackshear, GA 31516
Phone (912) 588-1020

1406 Habersham Dr
Waycross, GA 31501
Phone (912) 287-0333

1506 Alice St
Waycross, GA 31501
Phone (912) 285-3086

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7421/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.madonna@bacon.gadirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1912933870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S WAYNE ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102919",
            "telephone_number": "912-632-3827",
            "fax_number": "912-632-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S WAYNE ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102919",
            "telephone_number": "912-632-3827",
            "fax_number": "912-632-7308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 Habersham Dr",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315015306",
            "country_code": "US",
            "telephone_number": "912-632-3827",
            "fax_number": "912-632-7308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADONNA",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "031981",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME97383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720992S",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, GA

Sources for this page

Verify at the official NPI Registry.