Angela Michelle Daugherty Fogel, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO07643 Issued in GA

Practice address

2450 Atlanta Hwy
Ste 1601
Cumming, GA 30040

Phone

(678) 513-0095

Fax

(678) 513-0706

NPI assigned

Jan 23, 2007

Sex

Female

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

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.

• Chiropractic Specialties Inc

  • Chiropractor
  • Cumming, GA
  • NPI 1891831467
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063566024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6564 BLUEWATER DRIVE",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "30518",
            "telephone_number": "770-945-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY",
            "address_2": "STE 1601",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "678-513-0095",
            "fax_number": "678-513-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY FOGEL",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO07643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52187449002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fahed Darmoch
• Keely Darnell, WHNP
• Peter Madrid Darty, D.M.D,PHARM.D.
• Girija Sankar Das, MD
• Allison Nicole Dauberger, NP
• Daulton E Todd Jr MD PC
• Shelly Marie Davidovich, OTR/L, CPAM
• Jessica Davidson, MS, CGC
• Macy Davidson
• Troy D Davidson, DDS

• Chiropractor in Cumming, GA
• Providers in Cumming, GA by specialty
• Chiropractor 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.