Active NPI
Juan Sebastian Arana, DO
- Pediatrics Physician
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5101026297
- Practice address
- 3300 4TH St
Brunswick, GA 31520-3779 - Phone
- (912) 466-5870
- NPI assigned
- Apr 2, 2019
- Last updated
- Oct 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5101026297 | MI | Primary |
Addresses
Primary practice location
3300 4TH St
Brunswick, GA 31520-3779
Mailing address
3031 W Grand Blvd Ste 450
Detroit, MI 48202-3026
Phone (772) 801-1509
Other practice location 1
3031 W Grand Blvd Ste 450
Detroit, MI 48202-3026
Phone (313) 871-3751
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101026297 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Community Health Services, Inc. | Current | Accepting new patients | |
| Cooperative Healthcare Services Inc | Pediatrics | Current | Accepting new patients |
| Coastal Community Health Services Inc | Current | Accepting new patients | |
| Partners in Wellness | Past | Accepting new patients | |
| Southeast Georgia Health System, Inc. | Past | Accepting new patients | |
| Detroit Wayne County Health Authority | Past | Accepting new patients |
Locations
100 Professional Center Dr
Brunswick, GA 31525
106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
3300 4th St
Brunswick, GA 31520
Phone (912) 267-0884
Interoperability endpoints
- https://api.platform.athenahealth.com/19827/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Brunswick, GA
- NPI 1609298751
-
dba Southeast Georgia Physician Associates
- Clinic/Center
- Brunswick, GA
- NPI 1417979402
Pediatrics
-
dba Coastal Community Health County Clinic
- Federally Qualified Health Center (FQHC)
- Brunswick, GA
- NPI 1063282937
-
dba Southeast Georgia Health System - Brunswick Campus
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1962733089
-
- Family Medicine Physician
- Detroit, MI
- NPI 1518461524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1952863649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 W GRAND BLVD STE 450",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023026",
"telephone_number": "772-801-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 4TH ST",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315203779",
"telephone_number": "912-466-5870"
}
],
"practiceLocations": [
{
"address_1": "3031 W Grand Blvd Ste 450",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482023026",
"country_code": "US",
"telephone_number": "313-871-3751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARANA",
"first_name": "JUAN",
"middle_name": "SEBASTIAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101026297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.