Individual provider Active NPI

Joseph C Galitzin, MD

  • Surgery Physician
  • Peachtree City, GA
National Provider Identifier
1356402127
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
06331 Issued in GA
Practice address
2579 Highway 54
Peachtree City, GA 30269-1451
Phone
(770) 487-7807
Fax
(770) 487-7619
NPI assigned
Dec 13, 2006
Last updated
Dec 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 06331 GA Primary

Addresses

Primary practice location

2579 Highway 54
Peachtree City, GA 30269-1451

Mailing address

2579 Highway 54
Peachtree City, GA 30269-1451
Phone (770) 487-7807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06331GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hand & Trauma Institute PastSince Sep 19, 2015 Accepting new patients
Advanced Dermatology at Skincare 5TH Avenue, LLC PastSince Sep 6, 2024 Accepting new patients
Premier Orthopaedics &Sports Medicine,PC PastSince Apr 1, 2001 Accepting new patients

Organizations & group practices 3

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1356402127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 HIGHWAY 54",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691451",
            "telephone_number": "770-487-7807",
            "fax_number": "770-487-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 HIGHWAY 54",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691451",
            "telephone_number": "770-487-7807",
            "fax_number": "770-487-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALITZIN",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "06331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.