Individual provider Active NPI

John Joseph Giovanelli, D.C.

  • Chiropractor
  • Peachtree City, GA
National Provider Identifier
1801889332
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2833 Issued in GA
Practice address
3200 Shakerag HL Ste a
Peachtree City, GA 30269-6524
Phone
(770) 487-1228
Fax
(770) 818-5796
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2833 GA Primary

Addresses

Primary practice location

3200 Shakerag HL Ste a
Peachtree City, GA 30269-6524

Mailing address

3200 Shakerag HL Ste a
Peachtree City, GA 30269-6524
Phone (770) 487-1228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070106000110 GA Practitioner - Chiropractic 9537169016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3200 Shakerag HL
Suite a
Peachtree City, GA 30269-6524
Phone (770) 487-1228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2833GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Spine and Joint, Inc. Current Accepting new patients

Locations

3200 Shakerag Hl
Ste B
Peachtree City, GA 30269
Phone (770) 629-2424

3200 Shakerag Hl
Ste A
Peachtree Cty, GA 30269
Phone (770) 408-0184

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1801889332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SHAKERAG HL STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696524",
            "telephone_number": "770-487-1228",
            "fax_number": "770-818-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SHAKERAG HL STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696524",
            "telephone_number": "770-487-1228",
            "fax_number": "770-818-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVANELLI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.