Active NPI
Joseph Sebastian, MD
- Family Medicine Physician
- Buchanan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.141622
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
Practice addresses (Care Compare)
2908 Business
Buchanan, GA 30113-4857
Phone (770) 646-8281
Hospital & facility affiliations
- Tanner Home Health Services
- Tanner Medical Center - Carrollton
- Higgins General Hospital
- Tanner Medical Center Villa Rica
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98309 | GA | MD | Family Medicine Physician |
| 35.141622 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC Buchanan Family Healthcare Center | Family Medicine | Current | Accepting new patients |
| Denis Morin | Past | 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.
-
- Rural Health Clinic/Center
- Buchanan, GA
- NPI 1508801416
Family Medicine, GA
-
- Primary Care Clinic/Center
- Buchanan, GA
- NPI 1003020967
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Carrollton, GA
- NPI 1457376386
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.