JOHN WILLIAM CRUZ D.O.
NPI 1881086668
Emergency Medicine in Augusta, GA

Active since March 03, 2015PECOS EnrolledAccepts Medicare Assignment
1120 15TH ST, AUGUSTA, GA 30912(706) 721-8623(706) 721-1459 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2020, Jan 2, 2019, Dec 28, 2018 (3 updates tracked since 2018).

About John William Cruz D.o. NPPES

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

JOHN WILLIAM CRUZ D.O. (NPI 1881086668) is an individual emergency medicine provider in Augusta, Georgia, licensed in Georgia (86496) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Metro Nashville General Hospital, and maintains a secondary practice location in Joint Base Lewis Mcchord.

NPPES Registry Identity

NPI1881086668
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN WILLIAM CRUZCredential: D.O.
Location Address1120 15TH STAugusta, GA 30912-1000
Mailing Address1120 15th St Ste Bi1056Augusta, GA 30912-0004 · (706) 721-3813
Fax(706) 721-1459
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2015
Enumeration DateMarch 3, 2015
Last NPPES UpdateOctober 9, 20203 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
✔ NPI 1881086668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in GA · 86496✔ Licensed in GU · DO-0086
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1120 15TH ST, Augusta, GA 30912

Secondary Practice Location 1

Location 19040 Fitzsimmons DrJoint Base Lewis McChord, WA 98431-1000 · Phone (253) 968-2997

Accepted 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

John William Cruz D.o. 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 ID1850698549
PECOS Enrollment IDI20210830000693
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

4

Medicare enrollment records show John Cruz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 114 clinicians in this Medicare group
Emergency Medicine
907 E LAMAR ALEXANDER PKWY
Maryville, TN 37804
  • Reassigned Medicare billing, Tennessee enrollment
  • 390 clinicians in this Medicare group
Multi-Specialty
1818 ALBION ST
Nashville, TN 37208
  • Reassigned Medicare billing, Tennessee enrollment
  • 114 clinicians in this Medicare group
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
40 services36 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Metro Nashville General Hospital

Acute Care Hospitals · Nashville, TN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440111
Location1818 Albion StreetNashville, TN 37208 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$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 20

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

Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912

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 Cruz's NPI number?

The NPI number for John Cruz is 1881086668. It was assigned to this individual provider in the NPPES registry on March 3, 2015.

Where is John Cruz located?

John Cruz practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is John Cruz's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Cruz enrolled in Medicare?

Yes. John Cruz 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.

Which organizations bill Medicare for John Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Cruz reassigns Medicare benefits to 4 organizations: Au Medical Associates Emergency Medicine Billing Services, LLC (Augusta, GA), App Of Tennessee Ed, PLLC (Maryville, TN), Metropolitan Hospital Authority (Nashville, TN) and Southeastern Emergency Physicians LLC (Maysville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Cruz accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list John Cruz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Cruz affiliated with any hospitals?

According to CMS data, John Cruz is affiliated with Metro Nashville General Hospital.

When was this NPI record last updated?

The NPPES record for John Cruz was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.