Individual provider Active NPI

Manish P Govin, MD

  • Vascular & Interventional Radiology Physician
  • Augusta, GA
National Provider Identifier
1306826243
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
54214 Issued in GA
Practice address
1348 Walton Way Ste 5700
Augusta, GA 30901-5110
Phone
(706) 774-7022
Fax
(706) 774-7023
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 054214 GA
Vascular & Interventional Radiology Physician 2085R0204X 54214 GA Primary

Addresses

Primary practice location

1348 Walton Way Ste 5700
Augusta, GA 30901-5110

Mailing address

PO Box 1524
Augusta, GA 30903-1524
Phone (706) 854-6008

Other practice location 1

1100 Lake Hearn Dr Ste 200
Atlanta, GA 30342-1573
Phone (770) 250-0896

Other practice location 2

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-7022

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
I20040824000747 GA Practitioner - Diagnostic Radiology 6002880176 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

820 Sebastian Way
4A
Augusta, GA 30901
Phone (404) 605-4600

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054214GAMDDiagnostic Radiology Physician
54214GAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC CurrentSince Sep 1, 2023 Accepting new patients
Piedmont Providers LLC CurrentSince Nov 1, 2023 Accepting new patients
Gwinnett Clinic LTD Past Accepting new patients
Franklin & Seidelmann Inc Diagnostic Radiology Past Accepting new patients
Guardian Medical Services, LLC Past Accepting new patients
Quantum Medical Radiology PC Diagnostic Radiology Past Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients
American Health Imaging of Georgia, LLC Past Accepting new patients
Millennium Health Partners, LLC Past Accepting new patients
Pin Point Radiology Practice Group, PA Diagnostic Radiology Past Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

95 Collier Rd NW
Ste 2055
Atlanta, GA 30309
Phone (404) 355-9515

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

1348 Walton Way
Ste 5700
Augusta, GA 30901
Phone (706) 722-8242

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

790 Church St NE
Ste 510
Marietta, GA 30060
Phone (404) 403-8310

Organizations & group practices 11

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 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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1306826243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1524",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031524",
            "telephone_number": "706-854-6008",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY STE 5700",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015110",
            "telephone_number": "706-774-7022",
            "fax_number": "706-774-7023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Lake Hearn Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421573",
            "country_code": "US",
            "telephone_number": "770-250-0896",
            "fax_number": "404-481-4663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Walton Way",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012612",
            "country_code": "US",
            "telephone_number": "706-774-7022",
            "fax_number": "706-774-7023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOVIN",
        "first_name": "MANISH",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "054214",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "54214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.