NPIMap

Individual provider Active NPI

Joseph S. Novak Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Thomasville, GA
National Provider Identifier
1245218361
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
046464 Issued in GA
Practice address
918 S Broad St
Thomasville, GA 31792-6198
Phone
(229) 226-8800
Fax
(229) 226-8232
NPI assigned
Jan 9, 2006
Last updated
Nov 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 046464 GA
Obstetrics & Gynecology Physician 207V00000X 046464 GA Primary

Addresses

Primary practice location

918 S Broad St
Thomasville, GA 31792-6198

Mailing address

918 S Broad St
Thomasville, GA 31792-6198
Phone (229) 226-8800

Other identifiers 1

IdentifierTypeStateIssuer
000809113CMedicaidGA

Other names 1

  • Dr. Joseph S. Novak Jr. Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000955 GA Practitioner - Obstetrics/Gynecology 1951595842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Virginia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shaw Center for Women's HealthGroup PAC ID 7214829639, 7 clinicians

Practice addresses (Care Compare)

918 S Broad St
Thomasville, GA 31792-6198
Phone (229) 226-8800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046464GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Southwest Georgia, Inc. Current Accepting new patients
Thomasville Obstetrics and Gynecology, P.C. Obstetrics & Gynecology Current Accepting new patients
Shaw Center for Women's Health Obstetrics & Gynecology CurrentSince Nov 1, 2012 Accepting new patients
Primary Care of Southwest Georgia, Inc CurrentSince Jan 1, 2021 Accepting new patients
Primary Care of Southwest Georgia, Inc CurrentSince Jan 1, 2021 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
John D Archbold Memorial Hospital Inc Past Accepting new patients

Locations

360 College St
Blakely, GA 39823
Phone (229) 723-2660

940 4th St SE
Cairo, GA 39828
Phone (229) 377-6954

805 S Hansell St
Thomasville, GA 31792
Phone (229) 225-1357

916 S Broad St
Thomasville, GA 31792
Phone (229) 226-0125

918 S Broad St
Thomasville, GA 31792
Phone (229) 226-8800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIBAA
  • Direct secure messaging: joseph.novak@shawcenter.gadirect.net
  • Direct secure messaging: josephnovak@scwhpa.allscriptsdirect.net

Organizations & group practices 7

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 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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1245218361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 S BROAD ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926198",
            "telephone_number": "229-226-8800",
            "fax_number": "229-226-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 S BROAD ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926198",
            "telephone_number": "229-226-8800",
            "fax_number": "229-226-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "JOSEPH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "046464",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "046464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000809113C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "NOVAK",
            "middle_name": "S.",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.