NPIMap

Individual provider Active NPI

John Krowicki, MD

  • Emergency Medicine Physician
  • Toccoa, GA
National Provider Identifier
1619959103
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
025880 Issued in GA
Practice address
163 Hospital Dr
Toccoa, GA 30577-6820
Phone
(706) 282-4363
NPI assigned
Nov 18, 2005
Last updated
May 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 025880 GA Primary

Addresses

Primary practice location

163 Hospital Dr
Toccoa, GA 30577-6820

Mailing address

1729 Willard Way
Snellville, GA 30078-2782

Other identifiers 2

IdentifierTypeStateIssuer
000333088VMedicaidGA
HBP931MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040206000541 GA Practitioner - Emergency Medicine 1557254083 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025880GAMDEmergency Medicine Physician
2580GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens County Hospital Authority CurrentSince Sep 1, 2001 Accepting new patients
Covenant Emergency Physicians LLC Emergency Medicine CurrentSince Apr 1, 2006 Accepting new patients
Stephens County Pathology Associates LLC Current Accepting new patients
Angelfish Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 11, 2014 Accepting new patients
Sound Physicians Emergency Medicine of Georgia PC Emergency Medicine CurrentSince Apr 30, 2017 Accepting new patients
Stephens County Hospital Authority CurrentSince Sep 1, 2001 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Apr 8, 2020 Accepting new patients
Hartwell Emergency Services, LLC Emergency Medicine Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine Past Accepting new patients
Athens Attentive MD, LLC Past Accepting new patients

Locations

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

Organizations & group practices 10

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1619959103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 WILLARD WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 HOSPITAL DR",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776820",
            "telephone_number": "706-282-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROWICKI",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "025880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000333088V",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HBP931",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

Verify at the official NPI Registry.