Individual provider Active NPI

Giovanni Faccia, M.D.

  • Interventional Pain Medicine Physician
  • Columbia, TN
National Provider Identifier
1952396384
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD12669 Issued in TN
Practice address
230 E James M Campbell Blvd Ste 102
Columbia, TN 38401-0504
Phone
(931) 840-9588
Fax
(931) 381-3519
NPI assigned
Sep 12, 2005
Last updated
Mar 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X MD12669 TN Primary

Addresses

Primary practice location

230 E James M Campbell Blvd Ste 102
Columbia, TN 38401-0504

Mailing address

PO Box 190
Franklin, TN 37065-0190
Phone (931) 840-9588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000009 TN Practitioner - General PracticePractitioner - Pain Management 2264346964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffee Medical Group LLCGroup PAC ID 1850208794, 22 clinicians

Practice addresses (Care Compare)

481 Interstate Dr
Manchester, TN 37355

481 Interstate Dr
Manchester, TN 37355-3108
Phone (931) 728-6354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee Medical Group LLC Interventional Pain Medicine CurrentSince Mar 26, 2024 Accepting new patients
Coffee Medical Group LLC CurrentSince Mar 26, 2024 Accepting new patients
Spectrum Pain Clinics, Inc CurrentSince Jul 1, 2001 Accepting new patients
Spectrum Pain Clinics Inc. Interventional Pain Medicine CurrentSince Jul 1, 2001 Accepting new patients
Centro de Salud Familiar PLLC Past Accepting new patients
Banyan Healthcare & Wellness Center, LLC PastSince Aug 1, 2019 Accepting new patients

Locations

230 E James M Campbell Blvd
Ste 102
Columbia, TN 38401
Phone (931) 840-9588

8132 Cordova Rd
Cordova, TN 38016
Phone (901) 367-0811

1345 W Main St
Franklin, TN 37064
Phone (615) 794-5009

481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586

482 Interstate Dr
Manchester, TN 37355
Phone (931) 728-4718

Interoperability endpoints

  • Direct secure messaging: giovanni.faccia@mcrhc.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1952396384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370650190",
            "telephone_number": "931-840-9588",
            "fax_number": "931-381-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E JAMES M CAMPBELL BLVD STE 102",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384010504",
            "telephone_number": "931-840-9588",
            "fax_number": "931-381-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACCIA",
        "first_name": "GIOVANNI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "MD12669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.