JOHN BUCHANAN FNP
NPI 1265001184
Nurse Practitioner - Family in Duluth, GA

Active since June 24, 2021PECOS EnrolledAccepts Medicare Assignment
76.25/100
CMS Quality Rating
3790 PLEASANT HILL RD STE 150, DULUTH, GA 30096(770) 979-9427 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2022, Jun 24, 2021 (2 updates tracked since 2021).

About John Buchanan Fnp NPPES

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

JOHN BUCHANAN FNP (NPI 1265001184) is an individual family provider in Duluth, Georgia, licensed in Georgia (RN270043) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital- Emory Healthcare, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265001184
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN BUCHANANCredential: FNP
Location Address3790 PLEASANT HILL RD STE 150Duluth, GA 30096-5144
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 24, 2021
Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
NPI 1265001184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN270043
Also ListedRegistered NurseTaxonomy 163W00000X · License RN270043 (GA)
3790 PLEASANT HILL RD STE 150, Duluth, GA 30096

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Buchanan Fnp 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 ID5698168847
PECOS Enrollment IDI20220210001162
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
443 services302 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
349 services258 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
197 services156 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
24 services22 patients
Testosterone (hormone) level, free 84402
A free testosterone level test measures the amount of unattached, or "free," testosterone in your blood. Testosterone is a hormone that's important for certain body functions. This test is used to check if your hormone level is in the normal range.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110129
Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.88
Promoting Interoperability97
Improvement Activities40
Cost68.46

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Adult Health)
3790 PLEASANT HILL RD STE 150
DULUTH, GA 30096
Physician Assistant
3790 PLEASANT HILL RD STE 150
DULUTH, GA 30096

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Buchanan's NPI number?

The NPI number for John Buchanan is 1265001184. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is John Buchanan located?

John Buchanan practices at 3790 Pleasant Hill Rd Ste 150, Duluth, GA 30096. The listed phone number is (770) 979-9427.

What is John Buchanan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Buchanan enrolled in Medicare?

Yes. John Buchanan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is John Buchanan affiliated with any hospitals?

According to CMS data, John Buchanan is affiliated with St Francis Hospital- Emory Healthcare.

When was this NPI record last updated?

The NPPES record for John Buchanan was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.