JOHN W. DESIMONE (NPI# 1154408938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154408938 |
| Entity Type | Individual |
| Full Name | JOHN W. DESIMONE |
| Credential | MD |
| Practice Address |
611 E Washington Ave Ashburn GA 31714-5315 |
| Mailing Address |
907 18th St E Suite 150 Tifton GA 31794-3643 |
| Practice Telephone | 2295673407 |
| Mailing Telephone | 2293533422 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 019930 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE NUMBER | 019930 | 01 |
| GA | 000203365C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972007615 | John Anthony Desimone Ix | Pharmacist | 11721 Telegraph Rd Ste Uniti, Santa Fe Springs, CA 90670-3674 | 2018-03-19 |
| 1336681022 | John Desimone | Hearing Instrument Specialist | 850 W Chester Pike, Havertown, PA 19083-4400 | 2016-11-10 |
| 1982889168 | John Desimone | Pharmacist | 2799 Route 112, Medford, NY 11763-2535 | 2008-01-07 |
| 1548288988 | John P Desimone | Family Medicine | 475 Irving Ave, Ste 300, Syracuse, NY 13210-1528 | 2006-07-17 |
| 1780682740 | John V Desimone | Emergency Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-07-13 |
| Street Address |
611 E WASHINGTON AVE |
| City | ASHBURN |
| State | GA |
| Zip Code | 31714-5315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295833960 | Tift Regional Health System, Inc. | Clinic/Center | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2006-09-20 |
| 1063042562 | Tift Regional Health System Inc | Family Medicine | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2020-01-23 |
| 1356776074 | Tift Regional Health System Inc | Family Medicine | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2013-09-12 |
| 1851659650 | Mariel Danita Hepburn | Family Medicine | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2012-04-30 |
| 1063676146 | Sonia C Wiggins | Nurse Practitioner | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982050639 | Clinton Cawley | Student in an Organized Health Care Education/Training Program | 4022 Coverdale Hwy, Ashburn, GA 31714 | 2016-05-12 |
| 1972902369 | Genesis Dme, Inc. | Durable Medical Equipment & Medical Supplies | 237 E. Washington Ave., Ashburn, GA 31714 | 2014-08-21 |
| 1386952265 | United Rehab Inc. | Clinic/Center | 441 Industrial Blvd, Ashburn, GA 31714 | 2010-09-14 |
| 1518020122 | Christopher J. White | Dentist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2006-12-18 |
| 1477854693 | Susan Perkins Scott | Dental Hygienist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2010-11-04 |
| 1033448451 | Wendy M Hancock | Dental Hygienist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2009-12-14 |
| 1023157567 | Christopher J. White, Dds, Inc. | Dentist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2007-02-05 |
| 1366580888 | Tracy S Bass | Dental Hygienist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2007-02-05 |
| 1851465645 | Mary Grace Hobby I | Speech-Language Pathologist | 177 Hobby Ln, Ashburn, GA 31714-1926 | 2006-11-20 |
| 1992323554 | Montakesha Range Hillmon | Contractor | 1045 Martin Luther King Jr Dr Lot 42, Ashburn, GA 31714-2146 | 2020-07-10 |
| Find all providers in zip 31714 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235540162 | Danny Nguyen | Family Medicine | 22505 Landmark Ct Ste 210, Ashburn, VA 20148-6502 | 2014-05-13 |
| 1790888162 | Shilpa H Amin | Family Medicine | Belmont Country Club, Village of Baltrusol, 19756 Estancia Terrace, Ashburn, VA 20147 | 2006-09-07 |
| 1821107764 | Ashburn Medical Center PC | Family Medicine | 42882 Truro Parish Drive, Suite 201 Ashburn Medical Center PC, Ashburn, VA 20148 | 2006-08-30 |
| 1326056045 | Thomas Francis Morris | Family Medicine | 21170 Ashby Ponds Blvd, Ashburn, VA 20147-6128 | 2006-08-05 |
| 1609891316 | Neeta Goel | Family Medicine | 44095 Pipeline Plz, Ste 370, Ashburn, VA 20147-5898 | 2006-07-13 |
| 1508899907 | Patrina Lockette | Family Medicine | 354 E. Washington Ave., Ashburn, GA 31714-5222 | 2006-07-09 |
| 1215991948 | Mary R Renard | Family Medicine | 20905 Professional Plaza, Suite 330, Ashburn, VA 20147 | 2006-04-12 |
| 1174508055 | Earl A Lorenzen | Family Medicine | 354 E Washington Ave, Ashburn, GA 31714-5222 | 2005-12-13 |
| 1063042562 | Tift Regional Health System Inc | Family Medicine | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2020-01-23 |
| 1861894222 | Capital Family Medicine Plc. | Family Medicine | 20925 Professional Plz, Suite 310, Ashburn, VA 20147-3403 | 2014-09-17 |
| Find all providers in ASHBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.