NPIMap

Individual provider Active NPI

Joe Henry Livingston IV, MD

  • Family Medicine Physician
  • Blairsville, GA
National Provider Identifier
1679911846
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
073610 Issued in GA
Practice address
346 Deep South Farm Rd Ste a
Blairsville, GA 30512
Phone
(706) 745-9417
NPI assigned
Jun 11, 2013
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 073610 GA Primary

Addresses

Primary practice location

346 Deep South Farm Rd Ste a
Blairsville, GA 30512

Mailing address

346 Deep South Farm Rd Ste a
Blairsville, GA 30512-2218
Phone (706) 745-9417

Other practice location 1

4799 Blue Ridge Dr Ste 104
Blue Ridge, GA 30513-3468
Phone (706) 632-1155

Other identifiers 2

IdentifierTypeStateIssuer
003161101HMedicaidGA
003161101JMedicaidGA

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
I20150624000717 GA Practitioner - Family Practice 8628389137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Georgia Medicine LLCGroup PAC ID 6406923739, 16 clinicians

Practice addresses (Care Compare)

346 Deep S Farm Rd
Suite a
Blairsville, GA 30512-2218
Phone (706) 745-9417

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
073610GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Hospital Authority CurrentSince Mar 31, 2016 Accepting new patients
Union County Hospital Authority CurrentSince Mar 31, 2016 Accepting new patients
North Georgia Medicine LLC Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients
Union County Hospital Authority Past Accepting new patients

Locations

123 Weaver Rd
#A
Blairsville, GA 30512
Phone (706) 745-9417

346 Deep South Farm Rd
#A
Blairsville, GA 30512
Phone (706) 745-9417

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

4799 Blue Ridge Dr
Ste 104
Blue Ridge, GA 30513
Phone (706) 492-3200

Interoperability endpoints

  • Direct secure messaging: joe.livingston.1@19762.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1679911846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 DEEP SOUTH FARM RD STE A",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122218",
            "telephone_number": "706-745-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 DEEP SOUTH FARM RD STE A",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "30512",
            "telephone_number": "706-745-9417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4799 Blue Ridge Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Blue Ridge",
            "state": "GA",
            "postal_code": "305133468",
            "country_code": "US",
            "telephone_number": "706-632-1155",
            "fax_number": "706-896-0877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "JOE",
        "middle_name": "HENRY",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "073610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003161101H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003161101J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.