Individual provider Active NPI

Christopher John Bovinet, D.O.

  • Interventional Pain Medicine Physician
  • Brunswick, GA
National Provider Identifier
1447490776
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
71471 Issued in GA
Practice address
1111 Glynco Pkwy Ste 300
Brunswick, GA 31525-7933
Phone
(912) 262-6552
Fax
(912) 262-0112
NPI assigned
Feb 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 071471 GA
Interventional Pain Medicine Physician 208VP0014X 71471 GA Primary

Addresses

Primary practice location

1111 Glynco Pkwy Ste 300
Brunswick, GA 31525-7933

Mailing address

1111 Glynco Pkwy Ste 300
Brunswick, GA 31525-7933
Phone (912) 262-6552

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbovinet@nationalspine.emadirect.md

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
I20140513002289 GA Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 7214177963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Michigan State University College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Center of Southeast Georgia LLCGroup PAC ID 0143294231, 3 clinicians

Practice addresses (Care Compare)

1111 Glynco Pkwy
Suite 300
Brunswick, GA 31525-7921

1111 Glynco Pkwy
Suite 300
Brunswick, GA 31525-7933
Phone 9122626552107

Hospital & facility affiliations

  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
  • Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146
  • Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71471GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Center of Southeast Georgia LLC Interventional Pain Medicine CurrentSince Jun 6, 2014 Accepting new patients

Locations

1111 Glynco Pkwy
Ste 300
Brunswick, GA 31525
Phone (912) 262-6552

1111 Glynco Pkwy
Fl 3
Brunswick, GA 31525
Phone (912) 262-6552

Organizations & group practices 1

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 3

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1447490776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY STE 300",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257933",
            "telephone_number": "912-262-6552",
            "fax_number": "912-262-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY STE 300",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257933",
            "telephone_number": "912-262-6552",
            "fax_number": "912-262-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVINET",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "071471",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "71471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbovinet@nationalspine.emadirect.md",
            "affiliation": "N",
            "address_1": "1111 Glynco Pkwy Ste 300",
            "city": "Brunswick",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315257933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.