Active NPI
Jason Macrae Budde, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 44177
- Practice address
- 200 S Enota Dr NE Ste 380
Gainesville, GA 30501-3475 - Phone
- (770) 219-7099
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD0000047010 | TN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036163304 | IL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 44177 | GA | Primary |
Addresses
Primary practice location
200 S Enota Dr NE Ste 380
Gainesville, GA 30501-3475
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
162 Bmh Physicians Office Bldg
Maryville, TN 37804-5902
Phone (865) 238-6181
Other practice location 2
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1524445 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbudde106286@nghs.gadirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN, GA, IL, AL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Emory University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Doctors Dr
Dothan, AL 36301-2911
Phone (334) 793-6573
10810 Parkside Dr
Knoxville, TN 37934-1981
10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 218-7011
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 528-5400
420 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 923-7400
7655 Poplar Ave
Suite 350
Germantown, TN 38138-4933
Phone (901) 761-2470
Hospital & facility affiliations
- Methodist Hospitals of Memphis
- Southeast Health Medical Center
- Physicians Regional Medical Center
- SSM Health St Agnes Hospital-Fond Du Lac
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.74 of 100
- Quality
- 63.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 57.71
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44177 | GA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| MD0000047010 | TN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| City of Hope Medical Group of Georgia LLC | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Medcore Associates, PLLC | Current | Accepting new patients | |
| Pathology Laboratory Associates | Current | Accepting new patients | |
| Specialty Physician Group LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Knoxville Hma Physician Management, LLC | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| East Alabama Heart and Vascular, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Rockford Health Physicians | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| Cardiovascular Surgeons, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Florida Hospital Medical Group Inc | Past | Accepting new patients |
Locations
102 Doctors Dr
Dothan, AL 36301
Phone (334) 793-8804
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
62742 Collections Ctr Dr
Chicago, IL 60693
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660
7655 Poplar Ave
Ste 350
Memphis, TN 38138
Phone (901) 759-3447
7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792
1325 Eastmoreland Ave
Ste 365
Memphis, TN 38104
Phone (901) 272-6018
1240 Lee St
Charlottesville, VA 22908
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
Interoperability endpoints
- jbudde148951@cityofhope.direct-ci.com
- https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
Organizations & group practices 16
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.
-
dba Heart and Lung Surgeons of East Alabama
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Opelika, AL
- NPI 1073120119
-
dba Samc-Enterprise Medical Clinic
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Pulmonary Disease Physician
- Knoxville, TN
- NPI 1629356969
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1174842181
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
dba SSM Health St Agnes Hospital Fond Du Lac
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
dba SSM Health Fond Du Lac Regional Clinic
- Family Medicine Physician
- Fond Du Lac, WI
- NPI 1730162991
-
dba SAMC- Profee Billing
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
-
dba Southeast Alabama Medical Center Medical Clinics
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health St Agnes Hospital Fond Du Lac
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
dba Tennova Healthcare North Knoxville Medical Center
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1992711915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S ENOTA DR NE STE 380",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013475",
"telephone_number": "770-219-7099"
}
],
"practiceLocations": [
{
"address_1": "162 Bmh Physicians Office Bldg",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "TN",
"postal_code": "378045902",
"country_code": "US",
"telephone_number": "865-238-6181",
"fax_number": "865-681-3387",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8201 E Riverside Blvd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611142300",
"country_code": "US",
"telephone_number": "815-971-7000",
"fax_number": "815-968-4795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUDDE",
"first_name": "JASON",
"middle_name": "MACRAE",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TN",
"license": "MD0000047010",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036163304",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "GA",
"license": "44177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1524445",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbudde106286@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "200 S Enota Dr NE Ste 380",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305013475",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.