Josi Margarite Giovinazzo

Primary specialty

DentistTaxonomy code 122300000X

License

DN123143 Issued in GA

Practice address

2054 Warrior Way
Grovetown, GA 30813-8132

Phone

(706) 664-0744

NPI assigned

Jul 20, 2023

Last updated

Jul 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Patriots Park Dental

  • General Practice Dentistry
  • Grovetown, GA
  • NPI 1689002610
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1609556984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 SCHLEY ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046214",
            "telephone_number": "240-446-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 WARRIOR WAY",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308138132",
            "telephone_number": "706-664-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVINAZZO",
        "first_name": "JOSI",
        "middle_name": "MARGARITE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy #04589)
• Georgia Dental Professionals, PC (Dental Associates of Grovetown)
• Georgia Dept. of Corrections
• Jacqueline Corinne Gibson, CMA-CPT-GANOTARY
• James Alexander Gill, CRNA
• Candyce Graham
• Christopher Eugene Gray, EDS,LPC,NBCC
• Shontanae Imani Green, MS, LPC, NCC
• Krysta Noelle Greenleaf, PHARM.D
• Dorothy Ann Gresham, PHD, NP, CNOR

• Dentist in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.