Individual provider Active NPI

Jason Macrae Budde, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Gainesville, GA
National Provider Identifier
1992711915
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
44177 Issued in GA
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

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1524445MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
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, WI6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20080228000340 VA Practitioner - Thoracic Surgery 2860498953 Reassigns benefits to 1 organization
I20110615000397 TN Practitioner - Thoracic Surgery 2860498953 Reassigns benefits to 2 organizations
I20200720000143 GA Practitioner - Thoracic Surgery 2860498953 Reassigns benefits to 1 organization
I20241211000653 IL Practitioner - Thoracic Surgery 2860498953 Reassigns benefits to 1 organization
I20250227002981 AL Practitioner - Thoracic Surgery 2860498953 Reassigns benefits to 2 organizations
I20260318003727 WI Practitioner - Thoracic Surgery 2860498953 Reassigns benefits to 1 organization

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
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians
Agnesian Healthcare IncGroup PAC ID 1658289624, 392 clinicians
Specialty Physician Group LLCGroup PAC ID 9537291323, 101 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
79.74 of 100Reported as group
Quality
63.81
Promoting interoperability
100
Improvement activities
40
Cost
57.71

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
44177GAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD0000047010TNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority CurrentSince Jan 20, 2025 Accepting new patients
Agnesian Healthcare Inc CurrentSince Mar 9, 2026 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince May 1, 2023 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) CurrentSince Feb 9, 2026 Accepting new patients
Knoxville Hma Physician Management, LLC CurrentSince Jul 18, 2025 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
University of Virginia Physicians Group CurrentSince Feb 15, 2020 Accepting new patients
East Alabama Heart and Vascular, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 30, 2026 Accepting new patients
Rockford Health Physicians CurrentSince Nov 5, 2024 Accepting new patients
Agnesian Healthcare Inc CurrentSince Mar 9, 2026 Accepting new patients
Cardiovascular Surgeons, P.a. Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Oct 16, 1995 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

  • Direct secure messaging: jbudde148951@cityofhope.direct-ci.com
  • FHIR API: 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.

View all 16

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.