Jovito B Estaris, M.D.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

022544 Issued in GA

Practice address

3323 Lost Valley Dr
Jonesboro, GA 30236-5479

Phone

(678) 637-5281

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Spalding Regional Urgent Care Center at Heron Bay, L.L.C.

  • Urgent Care Clinic/Center
  • Locust Grove, GA
  • NPI 1861513129
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932117728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 LOST VALLEY DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365479",
            "telephone_number": "678-637-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 LOST VALLEY DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365479",
            "telephone_number": "678-637-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTARIS",
        "first_name": "JOVITO",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "GA",
            "license": "022544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00279034B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Epiphany Counseling Guidance and Treatment Services
• Charles Ray Epps II, LPC
• Equilibrium, LLC
• Oghenerukevwe Ololade Erhenede
• Essential Medical and Mental Health Institute
• Dortheiya Darneila Evans Cook, RBT
• Attiyya D Evans
• Deborah Evans, PA-C
• Helen Maria Evesley
• Excellence Noire LLC

• Preventive Medicine/Occupational Environmental Medicine Physician in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.