Individual provider Active NPI

Deborah Collins Pietrangelo, FNPC

  • Family Nurse Practitioner
  • Blue Ridge, GA
National Provider Identifier
1083783021
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN181932 Issued in GA
Practice address
101 Riverstone Vis Ste 215
Blue Ridge, GA 30513-6665
Phone
(706) 946-4227
Fax
(706) 258-4715
NPI assigned
Nov 6, 2006
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN181932 GA Primary

Addresses

Primary practice location

101 Riverstone Vis Ste 215
Blue Ridge, GA 30513-6665

Mailing address

101 Riverstone Vis Ste 215
Blue Ridge, GA 30513-6665
Phone (706) 946-4227

Other names 1

  • Deborah Jean Smith Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jychung@directaddress.net Skin Cancer & Cosmetic Dermatology Center, PC

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
I20130814000127 GA Practitioner - Nurse Practitioner 3678676384 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Cancer and Cosmetic Dermatology Center PCGroup PAC ID 3375591209, 24 clinicians

Practice addresses (Care Compare)

101 Riverstone Vis
Suite 215
Blue Ridge, GA 30513-6665
Phone (706) 946-4227

1107 Memorial Dr
Suite 201
Dalton, GA 30720-8662
Phone (706) 277-7311

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN181932GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer & Cosmetic Dermatology Center, PC CurrentSince Oct 1, 2020 Accepting new patients
Union County Hospital Authority Current Accepting new patients
Union County Hospital Authority CurrentSince Nov 2, 2019 Accepting new patients
Union County Hospital Authority CurrentSince Nov 2, 2019 Accepting new patients
Skin Cancer and Cosmetic Dermatology Center PC Past Accepting new patients

Locations

11 Hospital Way
Ste A
Blairsville, GA 30512
Phone (706) 745-3862

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

101 Riverstone Vis
Ste 215
Blue Ridge, GA 30513
Phone (706) 946-4227

160 Curtis Pkwy NE
Calhoun, GA 30701
Phone (706) 466-7076

1107 Memorial Dr
Ste 201
Dalton, GA 30720
Phone (706) 277-7311

136 Battlefield Crossing Ct
#C
Ringgold, GA 30736

4700 Battlefield Pkwy
Ste 300
Ringgold, GA 30736
Phone (706) 406-3900

420 E 2nd Ave
Ste 105
Rome, GA 30161
Phone (706) 378-2235

Organizations & group practices 6

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1083783021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS STE 215",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136665",
            "telephone_number": "706-946-4227",
            "fax_number": "706-258-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS STE 215",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136665",
            "telephone_number": "706-946-4227",
            "fax_number": "706-258-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRANGELO",
        "first_name": "DEBORAH",
        "middle_name": "COLLINS",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN181932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jychung@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Skin Cancer & Cosmetic Dermatology Center, PC",
            "address_1": "1107 Memorial Drive",
            "address_2": "Suite 201",
            "city": "Dalton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "SMITH",
            "middle_name": "JEAN",
            "credential": "FNPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Ridge, GA

Sources for this page

Verify at the official NPI Registry.