Jeffrey John Kovacic, MD
Individual provider Active NPI Sports Medicine (Orthopaedic Surgery) Physician · Calhoun, GA
NPI 1831164524 · NPPES record last updated Jul 29, 2020
Key facts
- NPI
- 1831164524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License
- 053836 (GA)
- Practice address
- 400 Timms Rd NE
Calhoun, GA 30701-7016 - Phone
- (706) 602-3100
- Fax
- (706) 602-3101
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Wright State University Boonshoft School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health System Georgia Inc
Practice addresses (Care Compare)
400 Timms Rd NE
Calhoun, GA 30701-7016
Phone (706) 625-0022
Hospital & facility affiliations
- Adventhealth Home Health
- Adventhealth Gordon
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.79 of 100
- Quality
- 68.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.67
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050915000025 | GA | Practitioner - Orthopedic Surgery |
6103859681 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053836 | GA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System Georgia Inc | Current |
Accepting new patients | |
| Georgia Sports Medicine, LLC | Sports Medicine | Past |
Accepting new patients |
| Dominion Orthopaedic Clinic, LLC | Past |
Accepting new patients | |
| The Longstreet Clinic PC | Past | Accepting new patients | |
| Dominion Orthopaedic Clinic, LLC | Past | Accepting new patients |
Locations
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
400 Timms Rd NE
Calhoun, GA 30701
Phone (706) 625-0022
106 Hospital Dr
Ste 5
Chatsworth, GA 30705
Phone (706) 517-0533
Interoperability endpoints
- jkovacic661449@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 053836 | GA | Yes |
Addresses
Primary practice location
400 Timms Rd NE
Calhoun, GA 30701-7016
Mailing address
PO Box 12938
C/O Clinic Management
Calhoun, GA 30703-7066
Other providers in Calhoun, GA
- Rebekah Lynne Kirby
- David E Kline
- Katherine Bailey Knight
- Gerald P Korey
- Herbert E Kosmahl
- Amy Kozody
- Chase Kranzlein
- Shireen K Ku
- Carrie Ann Kuhlman
- Jodi Kuhlman
All providers in Calhoun, GA · Sports Medicine (Orthopaedic Surgery) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.