Individual provider Active NPI

Joseph L Joyave, M.D.

  • Specialist
  • Calhoun, GA
National Provider Identifier
1730122805
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
043977 Issued in GA
Practice address
204 Professional CT SE
Calhoun, GA 30701-7020
Phone
(706) 625-5900
Fax
(706) 625-6519
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 043977 GA Primary

Addresses

Primary practice location

204 Professional CT SE
Calhoun, GA 30701-7020

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
000765091CMedicaidGA
000765091BMedicaidGA

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
I20191202000083 GA Practitioner - Pediatric Medicine 6103845680 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043977GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Agc Pediatrics, LLC Current Accepting new patients
Agc Pediatrics, LLC Specialist CurrentSince Jan 1, 2003 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

Interoperability endpoints

  • Direct secure messaging: jjoyave661714@adventhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEJAAA

Organizations & group practices 2

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1730122805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PROFESSIONAL COURT",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "30701",
            "telephone_number": "706-625-5900",
            "fax_number": "706-625-6519"
        },
        {
            "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": "706-625-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYAVE",
        "first_name": "JOSEPH",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "043977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000765091C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000765091B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

Verify at the official NPI Registry.