NPIMap

Organization Active NPI

Institute of Restorative Medicine

  • Vascular Surgery Physician
  • Jonesboro, GA
National Provider Identifier
1851084313
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
INSTITUTE OF RESTORATIVE MEDICINE
Practice address
7130 Mount Zion Blvd Ste 14B
Jonesboro, GA 30236-2566
Phone
(770) 585-2384
Fax
(470) 288-0223
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Joseph Damian Giovinco, DPM
Title
President, Ceo
Phone
(678) 561-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

7130 Mount Zion Blvd Ste 14B
Jonesboro, GA 30236-2566

Mailing address

1975 Highway 54 W Ste 205
Peachtree City, GA 30269-4794
Phone (678) 902-0457

Other names 1

  • Limb Preservation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240729004468 GA Part B Supplier - Clinic/Group Practice 8123565926 Receives reassigned benefits from 3 practitioners
Practice locations: Conyers, GA; Roswell, GA; Peachtree City, GA; Norcross, GA; Newnan, GA; Marietta, GA; Jonesboro, GA; Canton, GA

National Provider Directory

National Provider Directory

Locations

101 Yorktown Dr
Ste 227
Fayetteville, GA 30214

7130 Mount Zion Blvd
Ste 13
Jonesboro, GA 30236
Phone (770) 478-3668

5635 Peachtree Pkwy
Ste 100A
Norcross, GA 30092
Phone (770) 585-2384

1975 Highway 54 W
Ste 200B
Peachtree City, GA 30269
Phone (770) 585-2384

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1851084313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W STE 205",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694794",
            "telephone_number": "678-902-0457",
            "fax_number": "770-415-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MOUNT ZION BLVD STE 14B",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362566",
            "telephone_number": "770-585-2384",
            "fax_number": "470-288-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF RESTORATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "GIOVINCO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DAMIAN",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "678-561-9000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Limb Preservation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.