Active NPIIndividual provider

John T Irwin

Emergency Medicine in Conyers, Georgia

NPI Number1154610640
Practice location
1200 Stillmeadow RD SW, Conyers, GA 30094-5703
Fax
—
Last updated
August 26, 2026

John Tucker Irwin is an Emergency Medicine based in Conyers, GA. John Tucker Irwin practices in Conyers, GA. The NPI Number for John Tucker Irwin is 1154610640 and holds a License No. 4301105193 (MI). The current practice location address for John Tucker Irwin is 1200 Stillmeadow RD SW, Conyers, GA 30094-5703 and can be reached out via phone at 770-827-9526.

Provider Profile Details

NPI Number
1154610640
Provider Name
John Tucker Irwin
Provider Entity Type
Individual
Gender
Male
Address
1200 Stillmeadow RD SW, Conyers, GA 30094-5703
Phone Number
770-827-9526
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
April 5, 2011
Last Update Date
August 26, 2026
Certification Date
August 26, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Stillmeadow RD SW
Conyers, GA 30094-5703
State
Georgia
Zip
30094-5703
Phone Number
770-827-9526
Conyers, GA 30094Get directions →

Provider Business Mailing Address Details

Address
1200 Stillmeadow RD SW
Conyers, GA 30094-5703
City
Conyers
State
GA
Zip
30094-5703
Phone Number
770-827-9526

License Information

License Number (1)
4301105193
License State (1)
MI
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
35.124062
License State (2)
OH
Taxonomy (2)
Emergency Medicine · 207P00000X · Primary
License Number (3)
MD15275
License State (3)
RI
Taxonomy (3)
Emergency Medicine · 207P00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John T Irwin?

The NPI number of John T Irwin is 1154610640. It was assigned on April 5, 2011 and is currently active in the NPPES registry.

What is the specialty of John T Irwin?

John T Irwin is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MI under license number 4301105193.

Where does John T Irwin practice?

The practice location is 1200 Stillmeadow RD SW, Conyers, GA 30094-5703. The office can be reached at 770-827-9526 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154610640 directly on the NPPES registry website.

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