Active NPI
Jeffrey John Kovacic, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Calhoun, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 053836
- Practice address
- 400 Timms Rd NE
Calhoun, GA 30701-7016 - Phone
- (706) 602-3100
- Fax
- (706) 602-3101
- NPI assigned
- Feb 17, 2006
- Last updated
- Jul 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 053836 | GA | Primary |
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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- 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
Practice addresses (Care Compare)
400 Timms Rd NE
Calhoun, GA 30701-7016
Phone (706) 625-0022
Hospital & facility affiliations
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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System Georgia Inc | Current | Accepting new patients | |
| The Longstreet Clinic PC | Past | Accepting new patients | |
| Dominion Orthopaedic Clinic, LLC | Past | Accepting new patients | |
| Georgia Sports Medicine, LLC | Sports Medicine | 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
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.
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Calhoun, GA
- NPI 1699791343
-
- Specialist
- Atlanta, GA
- NPI 1518096122
-
- Durable Medical Equipment & Medical Supplies
- Suwanee, GA
- NPI 1861725079
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Duluth, GA
- NPI 1710160601
-
- Prosthetic/Orthotic Supplier
- Gainesville, GA
- NPI 1053422428
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Home Health
- Home Health Agency
- Calhoun, GA
- NPI 1073555256
-
dba AdventHealth Gordon
- General Acute Care Hospital
- Calhoun, GA
- NPI 1760402424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1831164524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12938",
"address_2": "C/O CLINIC MANAGEMENT",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307037066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TIMMS RD NE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307017016",
"telephone_number": "706-602-3100",
"fax_number": "706-602-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACIC",
"first_name": "JEFFREY",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "GA",
"license": "053836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.