Individual provider Active NPI

Jason Adam Bitkowski, D.O.

  • Surgery Physician
  • Jonesboro, GA
National Provider Identifier
1356555718
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101015792 Issued in MI
Practice address
7823 Spivey Station Blvd
Suite 200
Jonesboro, GA 30236-2886
Phone
(770) 507-5055
Fax
(770) 507-5880
NPI assigned
May 9, 2007
Last updated
Aug 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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 5101015792 MI Primary

Addresses

Primary practice location

7823 Spivey Station Blvd
Suite 200
Jonesboro, GA 30236-2886

Mailing address

7823 Spivey Station Blvd
Suite 200
Jonesboro, GA 30236-2886
Phone (770) 507-5055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100818001243 MI Practitioner - General SurgeryPractitioner - Surgical Oncology 3577697002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

32270 Telegraph Rd
Suite 110
Bingham Farms, MI 48025-2456
Phone (248) 792-9496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Specialist of Michigan PC CurrentSince Oct 10, 2024 Accepting new patients
Spine Specialists of Michigan PC CurrentSince Oct 10, 2024 Accepting new patients
Physiatry and Rehabilitation Associates LLC CurrentSince May 1, 2024 Accepting new patients
Southern Crescent Breast Specialists,PC Past Accepting new patients

Locations

32270 Telegraph Rd
Ste 110
Bingham Farms, MI 48025
Phone (248) 792-9365

2700 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 212-0777

2328 Livernois Rd
Ste 1060
Troy, MI 48083
Phone (248) 220-1148

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, 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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1356555718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7823 SPIVEY STATION BLVD",
            "address_2": "SUITE 200",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362886",
            "telephone_number": "770-507-5055",
            "fax_number": "770-507-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7823 SPIVEY STATION BLVD",
            "address_2": "SUITE 200",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362886",
            "telephone_number": "770-507-5055",
            "fax_number": "770-507-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITKOWSKI",
        "first_name": "JASON",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101015792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

Verify at the official NPI Registry.