DR. JONATHAN ANDREW EGLY (M.D.) – Obstetrics & Gynecology Physician, NPI 1063623700

DR. JONATHAN ANDREW EGLY (M.D.) is a healthcare provider. based in Saint marys, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. P8240 (TX). The NPI Number for DR. JONATHAN ANDREW EGLY (M.D.) is 1063623700

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN ANDREW EGLY (M.D.)
NPI
1063623700
Phone
(912) 540-6750
Address
2060 DAN PROCTOR DR STE 1200
Enumeration Date
24 May 2007
Last Update Date
2 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035359041
Graduation Year
2007 (19 years ago)
PAC ID
7416128517
Group Practice PAC ID
4587812888
Professional Enrollment ID
I20180328002351
Address ID
TX757028131TY214XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

Provider Addresses for DR. JONATHAN ANDREW EGLY (M.D.)

  • 2060 DAN PROCTOR DR STE 1200

    SAINT MARYS, GA 315583895

    Phone: (912) 540-6750

    Fax: (912) 540-6773

    Type: Location

  • Boerne Post Office, East San Antonio Avenue, Boerne, Kendall County, Texas, 78006, United States

    BOERNE, TX 780061400

    Phone: (830) 258-6237

    Fax: (830) 895-7757

    Type: Mailing

  • 115 MEDICAL CIR STE 102

    ATHENS, TX 757519004

    Phone: (036) 765-5539

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Exeltis, USA Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Exeltis, USA Inc.$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180328002351IObstetrics/GynecologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31558)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587812888View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. JONATHAN ANDREW EGLY (M.D.)?
For DR. JONATHAN ANDREW EGLY (M.D.), use NPI 1063623700 as the unique 10-digit identifier.
Is DR. JONATHAN ANDREW EGLY (M.D.) still an active registrant?
DR. JONATHAN ANDREW EGLY (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. JONATHAN ANDREW EGLY (M.D.)'s focus?
For DR. JONATHAN ANDREW EGLY (M.D.), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JONATHAN ANDREW EGLY (M.D.)?
Directory geography for DR. JONATHAN ANDREW EGLY (M.D.) centers on Saint Marys, Georgia.
Can I trust this NPI listing for DR. JONATHAN ANDREW EGLY (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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