JAMES DANIEL LOUGHRIDGE
NPI 1871059352
Internal Medicine in Chatsworth, GA

Q: What is James Loughridge's NPI number?

The NPI number for James Loughridge is 1871059352. It was assigned to this individual provider in the NPPES registry on February 20, 2019.

Q: What is James Loughridge'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 James Loughridge was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 20, 2019PECOS EnrolledAccepts Medicare Assignment

104 HOSPITAL DR, CHATSWORTH, GA 30705(706) 695-1820 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2024, Sep 6, 2024, Aug 5, 2024 and 1 more (4 updates tracked since 2019).

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About James Daniel Loughridge NPPES

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

JAMES DANIEL LOUGHRIDGE (NPI 1871059352) is an individual internal medicine provider in Chatsworth, Georgia, licensed in Georgia (101397) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of Mercer University School Of Medicine (2019).

NPPES Registry Identity

NPI1871059352

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAMES DANIEL LOUGHRIDGE

Location Address104 HOSPITAL DRChatsworth, GA 30705-2058

Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703 · (706) 602-7800

Phone(706) 695-1820

Sole ProprietorYes

Medical School CMSMercer University School Of MedicineGraduated 2019

Enumeration DateFebruary 20, 2019

Last NPPES UpdateSeptember 24, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2024

✔ NPI 1871059352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in GA · 101397✔ Licensed in TN · 0000062785

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

104 HOSPITAL DR, Chatsworth, GA 30705

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Accepted Insurance

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

James Daniel Loughridge 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 ID1759619935

PECOS Enrollment IDI20241014004381

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 Reassignment

Medicare enrollment records show James Loughridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adventist Health System Georgia Inc

20 mi

Multi-Specialty

1035 RED BUD RD NE
Calhoun, GA 30701

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

NPI 1699791343 (706) 602-7800

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 3

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

31 services28 patients

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.

17 services14 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.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110001

Location1200 Memorial DriveDalton, GA 30720 · Whitfield County

Birthing friendly

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number110023

Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County

Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number110050

Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30705 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.

Other Providers at the Same Location NPPES 5

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

DR. TAYLOR MURRAY DO

Family Medicine