JOHN FRANCIS MCGUIRE CNM
NPI 1427094853
Advanced Practice Midwife in Gainesville, GA

Q: What is John Mcguire's NPI number?

The NPI number for John Mcguire is 1427094853. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is John Mcguire's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for John Mcguire was last updated on September 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2006PECOS Enrolled

76.58/100

CMS Quality Rating

1290 ATHENS ST, GAINESVILLE, GA 30507(770) 531-5600 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About John Francis Mcguire Cnm NPPES

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

JOHN FRANCIS MCGUIRE CNM (NPI 1427094853) is an individual advanced practice midwife in Gainesville, Georgia, licensed in Georgia (RN053124) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427094853

Entity TypeIndividualMale

Primary Taxonomy367A00000X

Provider Legal NameJOHN FRANCIS MCGUIRECredential: CNM

Location Address1290 ATHENS STGainesville, GA 30507-7000

Mailing Address4903 Highland CirGainesville, GA 30506-3106 · (770) 490-6792

Phone(770) 531-5600

Sole ProprietorNo

Enumeration DateJune 22, 2006

Last NPPES UpdateSeptember 5, 2025

NPPES CertifiedSeptember 5, 2025

✔ NPI 1427094853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in GA · RN053124

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

1290 ATHENS ST, Gainesville, GA 30507

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Other Identifiers 6

Medicaid000340414JGA

Medicaid000340414KGA

Medicaid000340414CGA

Other10045508GA · Amerigroup

Other340874GA · Wellcare

Medicaid000340414LGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Francis Mcguire Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30507 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

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.

76.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.63

Promoting Interoperability

Improvement Activities

Cost

72.14

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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.

CAROL SHULER SEABOLT

Nurse Practitioner (Women's Health)