Active NPI
Joseph P Chovanec, PA
- Anesthesiologist Assistant
- Atlanta, GA
National Provider Identifier
1962449744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 000333
- Practice address
- 303 Parkway Drive, N.E.
PMB 404
Atlanta, GA 30312-1212 - Phone
- (404) 265-4421
- Fax
- (404) 265-3894
- NPI assigned
- Jun 1, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 000333 | GA | Primary |
Addresses
Primary practice location
303 Parkway Drive, N.E.
PMB 404
Atlanta, GA 30312-1212
Mailing address
PO Box 932925
Atlanta, GA 31193-2925
Phone (800) 364-9216
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000158G | Medicaid | GA | |
| 1962449744 | Other | GA | NPI |
| 100000158B | Medicaid | GA | |
| N341470 | Other | GA | WELLCARE MEDICAID |
| 1982637419 | Other | GA | GROUP NPI |
| P00158088 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Anesthesia Associates, P a | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Decatur, GA
- NPI 1528004538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1962449744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932925",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932925",
"telephone_number": "800-364-9216",
"fax_number": "423-892-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 PARKWAY DRIVE, N.E.",
"address_2": "PMB 404",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121212",
"telephone_number": "404-265-4421",
"fax_number": "404-265-3894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOVANEC",
"first_name": "JOSEPH",
"middle_name": "P",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "000333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000158G",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1962449744",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000158B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE MEDICAID",
"identifier": "N341470",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1982637419",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00158088",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.