Individual provider Active NPI

John Daniel Joyave, D.O.

  • Family Medicine Physician
  • Calhoun, GA
National Provider Identifier
1649639907
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
81605 Issued in GA
Practice address
204 Professional CT SE
Calhoun, GA 30701-7020
Phone
(706) 625-5900
Fax
(706) 625-5906
NPI assigned
Feb 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 81605 GA Primary

Addresses

Primary practice location

204 Professional CT SE
Calhoun, GA 30701-7020

Mailing address

204 Professional CT SE
Calhoun, GA 30701-7020
Phone (706) 625-5900

Other practice location 1

1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (918) 426-1800

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
I20191204003023 GA Practitioner - Family Practice 4880027853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 Professional CT SE
Calhoun, GA 30701-7020
Phone (706) 625-5900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81605GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agc Pediatrics, LLC CurrentSince Sep 23, 2019 Accepting new patients
Adventist Health System Georgia, Inc. Past Accepting new patients
Agc Pediatrics, LLC PastSince Jul 28, 2019 Accepting new patients

Locations

7311 Fairmount Hwy SE
Calhoun, GA 30701
Phone (706) 625-5900

204 Professional Ct SE
Calhoun, GA 30701
Phone (706) 625-5900

5 Medical Dr NE
Cartersville, GA 30121
Phone (770) 386-8604

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEJAAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1649639907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PROFESSIONAL CT SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307017020",
            "telephone_number": "706-625-5900",
            "fax_number": "706-625-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PROFESSIONAL CT SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307017020",
            "telephone_number": "706-625-5900",
            "fax_number": "706-625-5906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E Clark Bass Blvd",
            "address_purpose": "LOCATION",
            "city": "McAlester",
            "state": "OK",
            "postal_code": "745014209",
            "country_code": "US",
            "telephone_number": "918-426-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOYAVE",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-15",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "81605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

Verify at the official NPI Registry.