Individual provider Active NPI

Quinton Victor Cancel, M.D.

  • Urology Physician
  • Gainesville, GA
National Provider Identifier
1083885644
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
101540 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 219-8420
NPI assigned
Mar 21, 2008
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2019-02447 NC
Urology Physician 208800000X 158211 MT
Urology Physician 208800000X 101540 GA Primary

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

1112 Gracie Pl
Goldsboro, NC 27534-2260
Phone (919) 735-1635

Other practice location 2

67 White Ash Dr
Asheville, NC 28803-2491
Phone (931) 252-8870

Other practice location 3

350 Heritage Way Ste 2300
Kalispell, MT 59901-3167
Phone (406) 890-7432

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address qcancel725236@direct.UNC.nchie.net Direct
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, GA, ND, MT5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20200402000746 NC Practitioner - Urology 3173698131 Reassigns benefits to 2 organizations
I20241016000510 SC Practitioner - Urology 3173698131 Reassigns benefits to 2 organizations
I20250220003005 GA Practitioner - Urology 3173698131 Reassigns benefits to 1 organization
I20250417003484 ND Practitioner - Urology 3173698131 Reassigns benefits to 1 organization
I20250424001574 MT Practitioner - Urology 3173698131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Duke University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

1112 Gracie PL
Goldsboro, NC 27534-2260
Phone (919) 735-1635

441 McAlister Rd
Suite 1200
Lincolnton, NC 28092-4127
Phone (980) 212-6200

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

800 E Cheves St
Suite 350
Florence, SC 29506-2649
Phone (843) 665-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43389TNMDPharmacist
158211MTMDUrology Physician
2019-02447NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Jan 27, 2026 Accepting new patients
Altru Health System Current Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Apr 8, 2025 Accepting new patients
McLeod Physician Associates II CurrentSince Feb 11, 2025 Accepting new patients
Altru Health System CurrentSince Apr 17, 2025 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Jan 27, 2026 Accepting new patients
Altru Health System CurrentSince Apr 17, 2025 Accepting new patients
Anmed Health Urology CurrentSince Aug 2, 2024 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Apr 8, 2025 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Anmed Health CurrentSince Aug 2, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Urology CurrentSince Aug 19, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Mar 1, 2022 Accepting new patients
Anmed Health Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
McLeod Physician Associates II Urology Current Accepting new patients
Northeast Georgia Physicians Group Inc Urology CurrentSince Feb 12, 2025 Accepting new patients
McLeod Physician Associates II CurrentSince Feb 11, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 19, 2024 Accepting new patients
Kansas City Vascular & General Surgery Group LLC Past Accepting new patients
SCL Health Medical Group - Billings LLC Past Accepting new patients
MH Blue Ridge Medical Center, LLLP Past Accepting new patients

Locations

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

2900 12th Ave N
Ste 160W
Billings, MT 59101
Phone (406) 237-7999

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

350 Heritage Way
Ste 2300
Kalispell, MT 59901
Phone (406) 752-8456

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

441 McAlister Rd
Ste 1200
Lincolnton, NC 28092
Phone (980) 212-6200

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Ste 5140
Anderson, SC 29621
Phone (864) 716-6100

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 350
Florence, SC 29506
Phone (843) 665-2000

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org
  • Direct secure messaging: qcancel725236@direct.unc.nchie.net
  • Direct secure messaging: qcancel79404@direct.anmedhealth.net

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 5

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": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1083885644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "770-219-8420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 Gracie Pl",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275342260",
            "country_code": "US",
            "telephone_number": "919-735-1635",
            "fax_number": "919-735-6699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 White Ash Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032491",
            "country_code": "US",
            "telephone_number": "931-252-8870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Heritage Way Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013167",
            "country_code": "US",
            "telephone_number": "406-890-7432",
            "fax_number": "406-890-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANCEL",
        "first_name": "QUINTON",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-21",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2019-02447",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MT",
            "license": "158211",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "101540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "qcancel725236@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1112 Gracie Pl",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275342260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "350 Heritage Way Ste 2300",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.