Individual provider Active NPI

Joseph Anthony Havlik, MD

  • Infectious Disease Physician
  • Austell, GA
National Provider Identifier
1144325432
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
30087 Issued in GA
Practice address
1700 Hospital South Drive
Suite 402
Austell, GA 30106
Phone
(770) 739-8282
Fax
(770) 739-0794
NPI assigned
Sep 13, 2006
Last updated
Jul 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 30087 GA Primary

Addresses

Primary practice location

1700 Hospital South Drive
Suite 402
Austell, GA 30106

Mailing address

1700 Hospital South Drive
Suite 402
Austell, GA 30106
Phone (770) 739-8282

Other identifiers 1

IdentifierTypeStateIssuer
30087MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhavlik61769@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20101117000006 GA Practitioner - Infectious Disease 0547455511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.67 of 100Reported as group
Quality
63.53
Promoting interoperability
100
Improvement activities
40
Cost
78.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30087GAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Georgia Infectious Diseases Infectious Disease CurrentSince Oct 8, 1987 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1700 Hospital South Dr
Ste 402
Austell, GA 30106
Phone (770) 739-8282

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1144325432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL SOUTH DRIVE",
            "address_2": "SUITE 402",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "770-739-8282",
            "fax_number": "770-739-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL SOUTH DRIVE",
            "address_2": "SUITE 402",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "770-739-8282",
            "fax_number": "770-739-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVLIK",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "30087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30087",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhavlik61769@directwellstar.org",
            "affiliation": "N",
            "address_1": "1700 Hospital South Drive",
            "address_2": "Suite 402",
            "city": "Austell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.