Individual provider Active NPI

Joseph Sebastian, MD

  • Family Medicine Physician
  • Buchanan, GA
National Provider Identifier
1992201495
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.141622 Issued in OH
Practice address
2908 Business 27
Buchanan, GA 30113-4857
Phone
(770) 646-8281
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 98309 GA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 35.141622 OH Primary

Addresses

Primary practice location

2908 Business 27
Buchanan, GA 30113-4857

Mailing address

2908 Business 27
Buchanan, GA 30113-4857
Phone (770) 646-8281

Other practice location 1

2600 Sixth St SW
Canton, OH 44710-1702
Phone (330) 363-6211

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613002900 GA Practitioner - Family Practice 5698176444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Buchanan Family Healthcare CenterGroup PAC ID 9032106604, 4 clinicians

Practice addresses (Care Compare)

2908 Business
Buchanan, GA 30113-4857
Phone (770) 646-8281

Hospital & facility affiliations

  • Tanner Home Health Services Home health agency, Carrollton, GA, CCN 117319
  • Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
  • Higgins General Hospital Hospital, Bremen, GA, CCN 111320
  • Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98309GAMDFamily Medicine Physician
35.141622OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Buchanan Family Healthcare Center Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Denis Morin PastSince Jun 16, 2024 Accepting new patients

Locations

2908 Business 27
Buchanan, GA 30113
Phone (770) 646-8281

100 Greenway Blvd
Fl 2
Carrollton, GA 30117
Phone (770) 838-8710

Organizations & group practices 2

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 4

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1992201495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 BUSINESS 27",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134857",
            "telephone_number": "770-646-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 BUSINESS 27",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134857",
            "telephone_number": "770-646-8281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Sixth St SW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447101702",
            "country_code": "US",
            "telephone_number": "330-363-6211",
            "fax_number": "330-453-4263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "98309",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.141622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buchanan, GA

Sources for this page

Verify at the official NPI Registry.