Active NPI
Angela Horne Coleman, M.D.
- Family Medicine Physician
- Calhoun, GA
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective May 19, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19655
- Practice address
- 1035 Red Bud Rd NE
Calhoun, GA 30701-6010 - Phone
- (706) 879-4724
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19655 | MS | Primary |
Addresses
Primary practice location
1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Mailing address
3825 Chasemont Drive
Powder Springs, GA 30127
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08535894 | Medicaid | MS | |
| 080262879 | Other | MS | MS MEDICARE NO. |
| 19655 | Other | MS | MS STATE LICENSE # |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19655 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Georgia Emergency Physicians, LLC | Past | Accepting new patients | |
| Attentus Troy LLC | Past | Accepting new patients | |
| Fannin Ed Physicians LLC | Past | Accepting new patients | |
| Troy Regional Physicians Inc | Past | Accepting new patients | |
| Southern Health Corp. of Houston, Inc | Past | Accepting new patients | |
| Troy Regional Physicians Inc | Past | Accepting new patients | |
| MD Urgent Care LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Blue Ridge, GA
- NPI 1871791277
-
- Emergency Medicine Physician
- Ellijay, GA
- NPI 1336172923
-
dba Troy Regional Medical Center
- Rural Acute Care Hospital
- Troy, AL
- NPI 1205851375
-
dba Family Medical Clinic of Houston
- Rural Health Clinic/Center
- Houston, MS
- NPI 1083721732
-
dba Surgeons At Troy Regional Physicians Inc.
- Specialist
- Troy, AL
- NPI 1003124421
-
dba Hospitalists at Troy Regional Physicians Inc
- Specialist
- Troy, AL
- NPI 1366750788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1023150422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 CHASEMONT DRIVE",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "30127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 RED BUD RD NE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307016010",
"telephone_number": "706-879-4724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "ANGELA",
"middle_name": "HORNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "19655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08535894",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS MEDICARE NO.",
"identifier": "080262879",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS STATE LICENSE #",
"identifier": "19655",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.