NPIMap

Individual provider Active NPI

John G Vachtsevanos, MD

  • Orthopaedic Surgery Physician
  • Gainesville, GA
National Provider Identifier
1306820832
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
046269 Issued in GA
Practice address
1240 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3861
Phone
(770) 532-7202
Fax
(678) 450-3778
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 046269 GA Primary

Addresses

Primary practice location

1240 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3861

Mailing address

1240 Jesse Jewell Pkwy Ste 300
Gainesville, GA 30501
Phone (770) 532-7202

Other identifiers 1

IdentifierTypeStateIssuer
20NCCHBOtherGAMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jvachtsevanos@specialtyorthoga.emadirect.md Direct

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
I20041007000126 GA Practitioner - Orthopedic Surgery 3375502693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Baylor College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Orthopaedics PCGroup PAC ID 6305805615, 19 clinicians

Practice addresses (Care Compare)

1240 Jesse Jewell Pkwy SE
Suite 300
Gainesville, GA 30501-3861
Phone (770) 534-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement30
Knee replacement74
Lower limb (leg) arthroscopy (minimally invasive joint repair)31
Upper limb (arm) arthroscopy (minimally invasive joint repair)67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Orthopaedics, PC Orthopaedic Surgery CurrentSince Aug 1, 2004 Accepting new patients
Specialty Orthopaedics, PC Orthopaedic Surgery CurrentSince Aug 1, 2004 Accepting new patients
Specialty Orthopaedics Surgery Center PastSince May 27, 2004 Accepting new patients
The Orthopedic Clinic LC Orthopaedic Surgery Past Accepting new patients

Locations

1229 Friendship Rd
#100
Braselton, GA 30517
Phone (770) 532-7202

81 Prominence Ct
#100
Dawsonville, GA 30534
Phone (770) 532-7202

2320 Peachtree Industrial Blvd
Ste 103
Duluth, GA 30097
Phone (770) 532-7202

1240 Jesse Jewell Pkwy SE
Ste 300
Gainesville, GA 30501
Phone (770) 532-7202

1240 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 532-7202

1240 Jesse Jewell Pkwy SE
Ste 360
Gainesville, GA 30501
Phone (770) 534-9420

Interoperability endpoints

  • Direct secure messaging: johnv@specialtyorthoga.emadirect.md

Organizations & group practices 4

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 10

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1306820832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 JESSE JEWELL PKWY STE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-532-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 JESSE JEWELL PKWY SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013861",
            "telephone_number": "770-532-7202",
            "fax_number": "678-450-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHTSEVANOS",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "046269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "20NCCHB",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvachtsevanos@specialtyorthoga.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1240 Jesse Jewell Pkwy SE",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.