Individual provider Active NPI

Mark A Giovanini, M.D.

  • Neurological Surgery Physician
  • Pensacola, FL
National Provider Identifier
1104833524
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME0064731 Issued in FL
Practice address
201 S a St
Pensacola, FL 32502-5554
Phone
(850) 934-7545
Fax
(850) 934-7972
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME0064731 FL Primary

Addresses

Primary practice location

201 S a St
Pensacola, FL 32502-5554

Mailing address

201 S a St
Pensacola, FL 32502-5554
Phone (850) 934-7545

Other practice location 1

13305 Panama City Beach Pkwy
Panama City, FL 32407-2844
Phone (850) 934-7545

Other identifiers 1

IdentifierTypeStateIssuer
259917100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000574 FL Practitioner - Neurosurgery 7810094786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Oregon Health Sciences University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuromicrospine PLLCGroup PAC ID 2365686144, 6 clinicians

Practice addresses (Care Compare)

201 S a St
Pensacola, FL 32502-5554
Phone (850) 934-7545

Hospital & facility affiliations

  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion136
Laminectomy or laminotomy (partial removal of spine bones)18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neuromicrospine PLLC Neurological Surgery CurrentSince Apr 13, 2014 Accepting new patients
The Neurosurgical Group Sisco & Tippett Chapleau & Frank Neurological Surgery Past Accepting new patients

Locations

13305 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 232-2242

1502 Creighton Rd
Ste C
Pensacola, FL 32504
Phone (850) 437-3777

201 S A St
Pensacola, FL 32502
Phone (850) 460-8727

9400 University Pkwy
Ste 309
Pensacola, FL 32514
Phone (850) 479-3320

Interoperability endpoints

  • Direct secure messaging: markgiovanini@nmis.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1104833524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S A ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025554",
            "telephone_number": "850-934-7545",
            "fax_number": "850-934-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S A ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025554",
            "telephone_number": "850-934-7545",
            "fax_number": "850-934-7972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13305 Panama City Beach Pkwy",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324072844",
            "country_code": "US",
            "telephone_number": "850-934-7545",
            "fax_number": "850-934-7972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIOVANINI",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME0064731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259917100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.