Individual provider Active NPI

John S Georgakopoulos, DO

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1114029840
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101010863 Issued in MI
Practice address
5570 State St
Saginaw, MI 48603-3583
Phone
(989) 583-0100
Fax
(989) 583-0108
NPI assigned
Sep 2, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101010863 MI Primary

Addresses

Primary practice location

5570 State St
Saginaw, MI 48603-3583

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-0100

Other identifiers 1

IdentifierTypeStateIssuer
4396122MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgeorgakopoulos18836@direct.covenanthealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100115000880 MI Practitioner - Family Practice 2860534666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4220

16440 Gratiot Rd
Hemlock, MI 48626-8655
Phone (989) 583-0670

1941 Gates St
Reese, MI 48757-9555
Phone (989) 583-5550

2919 E Wilder Rd
Bay City, MI 48706-9299

2919 Wilder Rd
Bay City, MI 48706-9299

2970 Pierce Rd
Saginaw, MI 48604-8810

5570 State St
Suite 2
Saginaw, MI 48603-3582
Phone (989) 583-0100

600 N Main St
Frankenmuth, MI 48734-1152

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101010863MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Genesys Hospital CurrentSince Jan 1, 2002 Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Covenant Medical Center, Inc. CurrentSince Oct 15, 2011 Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Oct 15, 2011 Accepting new patients
Henry Ford Health Genesys Hospital CurrentSince Jan 1, 2002 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

2919 Wilder Rd
Ste 110
Bay City, MI 48706
Phone (989) 671-5700

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

600 N Main St
Ste 110
Frankenmuth, MI 48734
Phone (989) 652-1320

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

16440 Gratiot Rd
Hemlock, MI 48626
Phone (989) 583-0660

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

2970 Pierce Rd
Ste 1
Saginaw, MI 48604
Phone (989) 583-0285

3360 Tittabawassee Rd
Saginaw, MI 48604
Phone (989) 249-6010

5570 State St
Saginaw, MI 48603
Phone (989) 583-0100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • Direct secure messaging: jgeorgakopoulos18836@direct.covenanthealthcare.com

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1114029840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-0100",
            "fax_number": "989-583-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033583",
            "telephone_number": "989-583-0100",
            "fax_number": "989-583-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGAKOPOULOS",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4396122",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgeorgakopoulos18836@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "5570 State St",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486033583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.