JONATHAN FAIRLEY MD
NPI 1174866503
Internal Medicine in Moultrie, GA

Q: What is Jonathan Fairley's NPI number?

The NPI number for Jonathan Fairley is 1174866503. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Q: What is Jonathan Fairley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Fairley was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment

3131 S MAIN ST, MOULTRIE, GA 31768(229) 502-9782 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2025, Jul 28, 2023, Jul 14, 2023 and 1 more (4 updates tracked since 2018).

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About Jonathan Fairley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN FAIRLEY MD (NPI 1174866503) is an individual internal medicine provider in Moultrie, Georgia, licensed in Georgia (074820) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Phoebe Sumter Medical Center, and maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1174866503

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJONATHAN FAIRLEYCredential: MD

Location Address3131 S MAIN STMoultrie, GA 31768-6925

Mailing AddressPo Box 2876Moultrie, GA 31776-2876 · (229) 502-9782

Phone(229) 502-9782

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2013

Enumeration DateApril 4, 2013

Last NPPES UpdateSeptember 4, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1174866503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 074820

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3131 S MAIN ST, Moultrie, GA 31768

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Secondary Practice Location 1

Location 14700 Waters AveSavannah, GA 31404-6220 · Phone (912) 350-0583 · Fax (912) 350-7270

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Fairley Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961705447

PECOS Enrollment IDI20160823002101

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jonathan Fairley reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Colquitt Regional Hospitalists, LLC

Same address

Hospitalist

3131 S MAIN ST
Moultrie, GA 31768

Reassigned Medicare billing, Georgia enrollment
39 clinicians in this Medicare group

NPI 1851840912 (229) 985-3420

Colquitt Regional Medical Center

Same address

General Acute Care Hospital

3131 SOUTH MAIN ST
Moultrie, GA 31768

Reassigned Medicare billing, Georgia enrollment
74 clinicians in this Medicare group

NPI 1912099094 (229) 985-3420

Tift Regional Health System, Inc.

21 mi

Rural Health

172 MJ TAYLOR RD
Adel, GA 31620

Reassigned Medicare billing, Georgia enrollment
337 clinicians in this Medicare group

NPI 1871816918 (229) 896-8500

Phoebe Senior Center

27 mi

Clinic/Center

161 E BROAD ST
Camilla, GA 31730

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Phoebe Physician Group Inc
1,118 clinicians in this Medicare group

NPI 1821394271 (229) 336-5208

Statesboro Hma Physician Management LLC

148 mi

Hospitalist

1499 FAIR RD
Statesboro, GA 30458

Reassigned Medicare billing, Georgia enrollment
47 clinicians in this Medicare group

NPI 1558412023 (912) 871-5437

Apogee Medical Group Georgia Inc

185 mi

Internal Medicine

705 DIXIE ST
Carrollton, GA 30117

Reassigned Medicare billing, Georgia enrollment
335 clinicians in this Medicare group

NPI 1629025143 (770) 836-9667

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

296 services132 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

99 services96 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

97 services58 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

24 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phoebe Sumter Medical Center

Acute Care Hospitals · Americus, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110044

Location126 Highway 280 WAmericus, GA 31719 · Sumter County

Emergency services Birthing friendly

Colquitt Regional Medical Center

Acute Care Hospitals · Moultrie, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110105

Location3131 South Main StreetMoultrie, GA 31768 · Colquitt County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31768 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier16 claims16 services$19.90 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier16 claims16 services$108.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARED KENT CARDWELL MD

Family Medicine