Individual provider Active NPI

Maria D'Angelo, PHYSICIAN ASSISTAT

  • Physician Assistant
  • Newnan, GA
National Provider Identifier
1003366303
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008136 Issued in GA
Practice address
1741 Newnan Crossing Blvd E Ste G
Newnan, GA 30265-6601
Phone
(404) 640-8416
Fax
(678) 633-3501
NPI assigned
Oct 11, 2016
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008136 GA Primary

Addresses

Primary practice location

1741 Newnan Crossing Blvd E Ste G
Newnan, GA 30265-6601

Mailing address

1741 Newnan Crossing Blvd E Ste G
Newnan, GA 30265-6601
Phone (404) 640-8416

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161118001663 GA Practitioner - Physician Assistant 0042599854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000

35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008136GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Hemlock Pain Center, LLC CurrentSince Feb 19, 2018 Accepting new patients
Health Services of Central Georgia, Inc Past Accepting new patients

Locations

101 Preston Ct
Ste 103
Macon, GA 31210
Phone (478) 745-2385

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1003366303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 NEWNAN CROSSING BLVD E STE G",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656601",
            "telephone_number": "404-640-8416",
            "fax_number": "678-633-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 NEWNAN CROSSING BLVD E STE G",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656601",
            "telephone_number": "404-640-8416",
            "fax_number": "678-633-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "MARIA",
        "credential": "PHYSICIAN ASSISTAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "008136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.