Individual provider Active NPI

John David Harrington, MD

  • General Practice Physician
  • Wildwood, GA
National Provider Identifier
1992729156
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
112005 Issued in GA
Practice address
435 Life Style LN
Wildwood, GA 30757-4174
Phone
(417) 321-0064
NPI assigned
Jul 27, 2006
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 112005 GA Primary
General Practice Physician 208D00000X 75220 TN

Addresses

Primary practice location

435 Life Style LN
Wildwood, GA 30757-4174

Mailing address

435 Life Style LN
Wildwood, GA 30757-4174
Phone (417) 321-0064

Other identifiers 5

IdentifierTypeStateIssuer
I31852OtherUPIN
1992729156MedicaidIA
200051360MedicaidMO
61589501MedicaidCO
61589501MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 20, 2026 through May 20, 2028

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
84.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021003878MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Aug 28, 2023 Accepting new patients
Texas County Memorial Hospital CurrentSince Oct 15, 2023 Accepting new patients
Texas County Memorial Hospital Surgery CurrentSince Oct 15, 2023 Accepting new patients
Lawton Indian Hospital CurrentSince Nov 27, 2020 Accepting new patients
Texas County Memorial Hospital Past Accepting new patients

Locations

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

1422 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-1252

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1992729156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 LIFE STYLE LN",
            "city": "WILDWOOD",
            "state": "GA",
            "postal_code": "307574174",
            "telephone_number": "417-321-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 LIFE STYLE LN",
            "city": "WILDWOOD",
            "state": "GA",
            "postal_code": "307574174",
            "telephone_number": "417-321-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "112005",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "75220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I31852",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992729156",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200051360",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61589501",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61589501",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, GA

Sources for this page

Verify at the official NPI Registry.